Experiences at cigna healthcare

To be hired by Cigna Healthcare as a CSA you must have exceptional customer service skills, a great knowledge of dental anatomy, and understanding of insurance policies.

Answered customer and provider benefits and claims inquires, researched and resolved issues. Interpreted policy provisions.

1998-2002 Processed medical claims following established guidelines and workflows, while working at home. 2002-2004 Phone and Claim Specialist, worked with customers and providers, researched and resolved issues, while processing medical claims. 2004-2007 Coached claim processors to mantain standard quality and production goals. Researched claim questions and issues for claim processors and co-workers. Created job aides and claim processing checklist. Review quality audits and if needed challenge them. Recived Cigna Champion Award for: travel abroad to train and coach new hires; Creating quality and production star programs for claim processors; Implementation of the Claim Outreach Specialist role. Certified Technical Trainer...

Processed medical claims for different companies with different benefit packages. Answered customer service calls.

Coordinated the front end of the physician credentialing process
Facilitated the collection and review of pertinent information
Respond to complex correspondence
Provided customer service for providers, education, claim resolution, and contractual obligations
Developed and maintained positive relationships with physicians and practice managers within the network
Explained the plan's policies and procedures
Resolved provider's complaints and disputes by examining and processing claims...

You have to love to be busy and like a hectic work inviornment, as well as enjoying helping people

Take calls and send clms for reprocessing, proc HMO clms do adjustments, Data Entry, phones, customer service

my current inpatient case management team

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work hard and work smart and you will be rewarded