Medical Claims Review Analyst

Cigna

Bengaluru, India
Evaluate medical information against criteria
Review itemized bills against reimbursement policies
Analyze clinical information
The Medical Advisor is a member of the medical team which develops and manages health and wellness programs for Cigna customers

Job Summary

  • The Medical Advisor is a member of the medical team which develops and manages health and wellness programs for Cigna customers.
  • Ability to review, investigate, and respond to external and internal inquiries/complaints.
  • Provides guidance and acts as a mentor or coach for the nurses and other non-clinical staff.

Matching Summary

The Medical Advisor is a member of the medical team which develops and manages health and wellness programs for Cigna customers.

Skills & Requirements

Must-have

  • Evaluate medical information against criteria
  • Review itemized bills against reimbursement policies
  • Analyze clinical information
  • Handle multiple products and benefit plans
  • Quantitative decision making

Nice-to-have

  • Good inter-cultural skills
  • Exposure to global work environment
  • Team player
  • Flexible/Adaptable

Key Requirements

  • MBBS
  • Active Medical license
  • 2 or more years clinical experience
  • MS Office Suite experience

Work Rights

Not specified

Tailored Resume

Cover Letter