Claims and Benefits Analyst
Cigna
Sep 2018 - May 2019 (9 months)
In charge of guiding members through their healthcare plans within one of the largest health insurance
companies in the U.S.
● Following Standard Operating Procedures (SOPs) to quote member benefits and support and correct policy
needs for different medical procedures.
● Reviewing claims for clerical errors and sending back to claim adjusters for reprocessing when an error is
identified according to SOPs and state laws.
● Performing claim audits to ensure members are being billed appropriately by the providers and that the correct amount of money is being allocated to the member's deductibles and out of pocket expenses.
