4 часа назад
IOH Provider Claims SME (Claims)
Вакансия из Hirify Global, списка международных tech-компанийДля мэтча и отклика нужен Plus
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
IOH Provider Claims SME (Claims): Supporting claims operations through process expertise, financial verification, quality audits, documentation, training, and stakeholder engagement with an accent on process mapping, operational accuracy, and continuous improvement. Focus on analyzing root causes, optimizing end-to-end workflows, supporting BPO partnerships, and leading onboarding and knowledge-sharing activities.
Location: Madrid, Spain
Company
Cigna Healthcare, a division of , supports customers in navigating the healthcare system and making informed decisions about their health.
What you will do
- Serve as a subject matter expert for IOH Provider Claims processes, systems, tools, and operational best practices.
- Map, document, review, and optimize end-to-end claims processes, workflows, SOPs, and knowledge materials.
- Identify bottlenecks, risks, control gaps, and root causes while recommending data-driven improvements.
- Support financial verification, manual payment approvals, quality audits, KPI monitoring, and corrective actions.
- Lead onboarding, training, process walkthroughs, and knowledge-sharing sessions for employees and BPO partners.
- Collaborate with internal, external, and BPO stakeholders on standardization, governance, transformation, and continuous improvement.
Requirements
- At least 1 year of experience working at Cigna and 2 years of experience in a Claims role.
- Experience with Claims IOH processes and a strong performance track record.
- Fluent English and strong communication, stakeholder management, and facilitation skills.
- Strong process mapping, process documentation, analytical, problem-solving, and root cause analysis skills.
- Advanced Excel, reporting, data analysis, and Windows tools knowledge.
- Experience with Lean, Six Sigma, Kaizen, change management, or equivalent continuous improvement frameworks.
Culture & Benefits
- International working environment with collaboration across locations.
- Culture focused on continuous improvement, accountability, innovation, and operational excellence.
- On-site training and support for new hires.
- Application requires a CV and cover letter.
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