Plan Automation Senior Associate - Evernorth - Remote (chattanooga, Tn)

Cigna

Chattanooga, Tennessee, USA
Fully remote
Load client specific benefits
Macro/bot technology
Manual system entry
Utilize Implementation materials to load client specific benefits in the Proclaim claim engine, using macro/BOT technology and manual system entry to support new and existing business

Job Summary

  • Utilize Implementation materials to load client specific benefits in the Proclaim claim engine, using macro/BOT technology and manual system entry to support new and existing business.
  • Ensure that account benefits are in compliance with Federal and State legislation.
  • Prevent access to care (ATC) issues and resolve member impacting benefit disjoints by updating the claim engine timely based on updated source documents and/or benefit load clarifications.

Matching Summary

Utilize Implementation materials to load client specific benefits in the Proclaim claim engine, using macro/BOT technology and manual system entry to support new and existing business.

Skills & Requirements

Must-have

  • load client specific benefits
  • macro/BOT technology
  • manual system entry
  • claim engine compliance
  • interpret complex information

Nice-to-have

  • workflow quality improvement
  • learn on the fly
  • fast paced changing environment

Key Requirements

  • High School Diploma or GED
  • 2+ years' experience
  • Intermediate MS Office knowledge
  • Ability to multi-task
  • Excellent communication skills
  • Strong analytical skills
  • Strong time management skills

Work Rights

Not specified

Tailored Resume

Cover Letter