Claims Manager
CurrentSpearhead day-to-day activities of the team and supervise many projects. Deliver active assistance and present findings to managers with a recommendation. Serve as Cigna Champion for Workbench, train team members, compile binders for quick reference, and make adjustments to issues in Workbench. Facilitate review meetings with client and service providers to discuss the ongoing appropriateness of the plan. Liaise with relevant service providers and agencies to improve service provision for clients. Monitor client’s progress toward goal achievement and periodically reassess changes in health status. Tirelessly identify and develop new community resources and support with problem solving. Execute special audit for ASO account in an efficient manner.• Recruit new hires, assess training needs, and conduct training sessions to make them a valuable asset.• Examine policies to ensure accurate payment of eligible claims and verify all offsets in place.• Utilize MS Excel to enter data into excel spreadsheet for managers, sales, and account to review.• Provide exceptional customer service by spending time with the claimants explaining the audit process