Claims Processor Sr Assoc - Translator

Examines and processes paper claims and/or electronic claims.  Determines whether to return, pend, deny or pay claims within policies.  Determines steps necessary for adjudication.  Follows established departmental policies and procedures, operating memos and corporate policies to resolve claims and claims issues.  Settles claims with claimants in accordance with policy provisions.  Compares claim application and/or provider statement with policy file and other records to evaluate completeness and validity of claim.  Interacts with agents and claimants by mail or phone to correct claim form errors or omissions and to investigate questionable entries.  Typically has more than five years of experience processing and adjudicating claims.  This level is typically responsible for independently reviewing complex or specialty claims and providing hands-on training to lower level Claim Associates. Pay Benefits Work Schedule CIGNA offers a competitive compensation and comprehensive benefits package including health and wellness benefits, 401k plan, and work/life balance programs, as well as opportunities for career growth and development. How To Apply We encourage you to complete all questions on the candidate profile if you wish to be considered for this opportunity.

Please refer to job code 65341 when responding to this ad.

Category:	Accounting/Banking/Finance/Insurance
	> Claims
Location:	Claymont, DE
County:	New Castle County
ZIP Code:	19703
Pay Rate:	Open
Job Terms:	full time
Company:	CIGNA
Phone:	email only please
Fax:	email only please