Quality Review And Audit Senior Analyst

Cigna

Not specified
Review claims to identify third party liability
Negotiate settlement agreements with third parties
Partner with external legal vendors
Cigna is seeking a Quality Review and Audit Senior Analyst to support its affordability commitment within Cigna International. The role involves investigating subrogation cases, negotiating settlements, and collaborating with various stakeholders to ensure effective recovery processes

Job Summary

  • This role supports Cigna's affordability commitment by identifying and seeking recoveries for subrogation cases across global claims platforms.
  • The analyst will interview customers, providers, and third parties to establish liability and negotiate settlement agreements.
  • Candidates must possess a critical mindset to understand regulatory contexts while partnering with Claims Operations, Legal, and Data Analytics teams.

Matching Summary

Match Score: 85

Cigna is seeking a Quality Review and Audit Senior Analyst to support its affordability commitment within Cigna International. The role involves investigating subrogation cases, negotiating settlements, and collaborating with various stakeholders to ensure effective recovery processes.

Skills & Requirements

Must-have

  • Review claims to identify third party liability
  • Negotiate settlement agreements with third parties
  • Partner with external legal vendors
  • Conduct data mining for subrogation trends
  • Ensure accurate case tracking and reporting

Nice-to-have

  • Fluency in foreign languages in addition to English
  • Experience with data analytics tools
  • Knowledge of Mainframe, Diamond, Actisure systems
  • Ability to work with global teams across time zones
  • Strong organization skills under pressure

Key Requirements

  • Commercial experience operating effectively under pressure
  • Critical mind-set with ability to understand regulatory context
  • Demonstrated strong organization skills
  • Excellent communication skills
  • Ability to balance multiple priorities at once

Work Rights

Not specified

Tailored Resume

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