Job Description
**Job Description**
Responsible for organizing and processing the flow of incoming and outgoing documents (paper & electronic). The candidate ensures there is consistency in timely delivery of quality and quantity to meet set parameters and measures.
**Responsibilities:**
+ Receiving and documenting claims, both electronic and paper claims
+ Sorting, processing, and vetting of claims firsthand for claims payment and ensuring they are accurately assigned.
+ File management and classification of data and supporting reporting compilation.
+ Electronic transfer of received claims to the various platforms.
+ Cross-referencing of emails received from members and providers for further processing.
+ Any other tasks as allocated.
**Requirements:**
+ Pharmacy Experience preferred.
+ Executes assignments accurately and pays attention to detail.
+ Ability to plan and organize tasks independently.
+ Excellent time management skills with the ability to continuously prioritize set tasks accordingly.
+ Upholds utmost discretion when handling confidential information.
+ Works to deliver consistently even under pressure.
+ Self-driven and can work with little or no supervision.
+ Ability to work collaboratively within a team.
+ Customer-focused while executing tasks.
+ Copes well in a changing environment
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
**About Evernorth Health Services**
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_
[email protected]_ _for support. Do not email_
[email protected]_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
Job Tags
Local area, Work from home,