Claims Associate Representative (GHB) – PSO – Cigna Healthcare

Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security. Cigna has almost 40,000 employees who service over 80 million customer relationships around the world. Within its international division, a dedicated unit – headquartered in Belgium – focuses on the needs of International…

Claims Associate Representative (GHB) – PSO- Cigna Healthcare

YOUR JOB

• Delivers administrative, technical, and operative tasks related to the processing, validation, and correction of partner claim data. Works with standardized reports, performs rule‑based corrections in policy administration system, raises IT tickets where required, and supports the accuracy of automated data feeds. Understands and applies simple instructions and procedures. Work is allocated on a daily or task‑by‑task basis with clear direction. This role is an entry point into administrative operations.

What are your main Duties/Responsibilities:

• Run, prepare, and categorize the weekly reports, including sorting lines by error code and updating BAU trackers.

• Correct basic data issues in the policy administration system (e.g., member numbers, procedure codes, diagnosis codes, service dates, partner IDs, net/billed amounts) using defined SOP steps and system prompts.

• Follow rule‑based instructions for each error category, applying fixes or routing items to IT when required.

• Escalate to Supervisor and raise IT tickets for duplicate closures, forced claim loads, invalid data corrections, or adjustments that cannot be resolved directly.

• Work on adjustment and reconciliation reports, documenting claim numbers, preparing tracking sheets, and reprocessing or reversing claims following predefined procedures.

• Mailbox ownership and handling of the escalated cases within the TAT´s.