The Cigna Group
Claims Processor
- Permanent
- Riyadh, Saudi Arabia
- Experience 2 - 5 yrs
Job expiry date: 23/09/2025
Job overview
Date posted
09/08/2025
Location
Riyadh, Saudi Arabia
Salary
Undisclosed
Compensation
Comprehensive package + relocation
Experience
2 - 5 yrs
Seniority
Experienced
Qualification
Bachelors degree
Expiration date
23/09/2025
Job description
We are looking for a detail-oriented claims processor to join our insurance team. You will be responsible for preparing claim forms, verifying information, and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments. To be successful in this role, you should have excellent organizational and interpersonal skills, be able to work under pressure, and perform a range of clerical functions with great attention to detail.
Required skills
medical terminology
CPT codes
ICD-9 codes
insurance industry knowledge
federal and state regulations
MS Office
claims processing
policy coverage assessment
claims payment processing
medical document assessment
database management
critical thinking
decision making
administrative skills
customer service
record keeping
Key responsibilities
- Validate information on all medical claims from patients seeking payment from their insurance company
- Review claims to ensure there is no missing or incomplete information
- Maintain meticulous records of claims and follow up on lapsed cases
- Use extensive knowledge of medical terminology to assess claims
- Record and maintain insurance policy and claims information in a database system
- Determine policy coverage and calculate claim amounts
- Process claims payments
- Answer queries related to policy coverage criteria and guidelines
- Comply with federal, state, and company regulations and policies
- Read and assess medical documents to approve or deny payment to doctors
- Communicate with doctors' offices or insurance companies if there is a problem with a claim
- Perform other clerical tasks as required
Experience & skills
- Medical qualification background will be an added advantage
- At least 2 years of experience as a claims processor or in a related role
- Knowledge of medical terminologies, CPT codes, and ICD-9 codes
- Working knowledge of the insurance industry and relevant federal and state regulations
- Computer literate and proficient in MS Office
- Excellent critical thinking and decision-making skills
- Good administrative and organizational skills
- Strong customer service skills
- Ability to work under pressure
- High attention to detail
