Role Title: 

 Quality Review/Audit Sr Assoc 

 Job ID: 

 55989 

 Location:TN - NASHVILLE


 Full/Part Time: 

 Full-Time 

 Regular/Temporary: 

 Regular 





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 Org Marketing Statement 

 At CIGNA, we are committed to providing our customers with employee benefits, expertise and services that improve the health, well-being and productivity of their employees. CIGNAs people are the key to our success in a changing and increasingly competitive marketplace. The collective skills, behaviors and work experiences of all CIGNA employees enable us to make a real difference in the lives of our members. We seek the most talented and creative minds in the industry to develop innovative solutions our customers value and consumers expect. 

 Role Summary 

 Audits and reviews the accuracy of case processing activities such as: claim or commission payments, premium collection and accounting, or systems structure and data entry to ensure compliance and consistency with administrative procedures and guidelines. Develops and distributes audit reports. Assists with third party audits by completing questionnaires, validating selected claims, responding to errors, etc. Identifies and recommends changes to improvements in department processing and procedures, and assists in the development of audit guidelines. May act as subject matter expert and a resource for team members. May develop and/or recommend training programs to address error trends. Requires seasoned knowledge of call work and auditing procedures and systems expertise for auditing claim payments. College degree or previous claims and/or call work experience. 3 or more years of claims auditing experience and more than 5 years claims adjudication experience. 

 Pay Benefits Work Schedule 

 CIGNA offers a competitive compensation and comprehensive benefits package including health and wellness benefits, 401k plan, and work/life balance programs, as well as opportunities for career growth and development. 

 How To Apply 

 We encourage you to complete all questions on the candidate profile if you wish to be considered for this opportunity. 

 EEO Statement 

 CIGNA is an Equal Opportunity Employer

 





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