Benefit Analyst
Greenock
Band 1
Purpose of the job/Key Objective:
Maintain high levels of customer satisfaction by dealing with member/client enquiries
in an effective and timely manner.
To offer the highest possible level of service
to all our customers thereby assisting in retaining existing business and improving
our persistency levels by maintaining excellent productivity and accuracy.
Requirements of the role:
Maintain service for UK product and supporting the European product and offering
service as detailed below:
- Adjudicate international medical/dental and vision claims in accordance
with policy terms and conditions to meet personal and team productivity and quality goals.
- Monitor and highlight high cost claims and ensure relevant parties
are aware.
- Monitor turn around times to ensure your claims are settled within
required time scales, highlighting to team senior when this is not achievable.
- Respond within the time commitment given to enquiries
regarding plan design, eligibility, claims status and perform necessary action as required,
with first
call resolution where possible.
- Interface
effectively with internal and external customers to resolve customer issues.
- Identify potential process improvements and make recommendations
to team senior
- Actively support other team members and provide resource to enable
all team goals to be achieved.
- Work across European business in line with service needs.
Skills/attributes:
- Strong interpersonal skills with good verbal and written communication to internal and external clients
- Strong customer focus with ability to identify and solve problems
- Ability to work under own initiative and proactive in recommending
and implementing process improvements
- Ability to organise, prioritise and manage workflow to meet individual
and team requirements
- Ability to exercise judgement
Experience required:
- 1 – 2 years experience in medical administration, claims environment
or customer service focused organisation
- PC literate
Education/professional qualifications required:
- Preferred if English and Arithmetic qualification
If you would like to apply for this position, please submit a written application
in the form of a current CV and covering letter outlining your suitability for this role to Margaret Buchan HR Department, 1 Knowe Road, Greenock
PA15 4RJ. Alternatively,
you can apply online at UKRecruitment@CIGNA.com.
Please note the closing date for applications is 31st March 2008.