Search member information in Cigna systems and update database fields to route items to correspondence or appeals. * Follow established policies and procedures to support accurate processing and ...
New
Search member information in Cigna systems and update database fields to route items to correspondence or appeals. * Follow established policies and procedures to support accurate processing and ...
New
Search member information in Cigna systems and update database fields to route items to correspondence or appeals. * Follow established policies and procedures to support accurate processing and ...
New
Sunrise, FL · Remote
$18 - $23/hr
Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · Remote
$18 - $23/hr
Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · On-site +1
$18 - $23/hr
Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · On-site +1
$18 - $23/hr
Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · On-site +1
$18 - $23/hr
Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · On-site +1
$18 - $23/hr
Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · On-site +1
$18 - $23/hr
Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · On-site +1
$18 - $23/hr
Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · Remote
$18 - $23/hr
Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · Remote
$18 - $23/hr
Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · Remote
$18 - $23/hr
Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · Remote
$18 - $23/hr
Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Comprehensive dental and vision insurance through Cigna * Access to wellness programs to support ... Researches claims that do not pass through clearinghouse. Processes paper claims that cannot be ...
Comprehensive dental and vision insurance through Cigna * Access to wellness programs to support ... Researches claims that do not pass through clearinghouse. Processes paper claims that cannot be ...
Bristol, CT · On-site
$22/hr
Comprehensive dental and vision insurance through Cigna * Access to wellness programs to support ... Researches claims that do not pass through clearinghouse. Processes paper claims that cannot be ...
Bristol, CT · On-site
$22/hr
Comprehensive dental and vision insurance through Cigna * Access to wellness programs to support ... Researches claims that do not pass through clearinghouse. Processes paper claims that cannot be ...
Richmond Hill, NY · On-site
$45K - $65K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Work with ...
Richmond Hill, NY · On-site
$45K - $65K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Work with ...
New York, NY · On-site
$65K - $95K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR ...
New York, NY · On-site
$65K - $95K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR ...
$65K - $95K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR ...
$65K - $95K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR ...
New York, NY · On-site
$45K - $65K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Work with ...
New York, NY · On-site
$45K - $65K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Work with ...
Richmond Hill, NY · On-site
$45K - $65K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Work with ...
Richmond Hill, NY · On-site
$45K - $65K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Work with ...
$65K - $95K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR ...
$65K - $95K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR ...
Richmond Hill, NY · On-site
$45K - $65K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Work with ...
Richmond Hill, NY · On-site
$45K - $65K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Work with ...
Richmond Hill, NY · On-site
$65K - $95K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR ...
Richmond Hill, NY · On-site
$65K - $95K/yr
We specialize in out-of-network surgical claims, and partner directly with our clients to ensure ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR ...
Resolve denied and underpaid claims promptly * Review and interpret Explanation of Benefits (EOBs ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR ...
Quick apply
Resolve denied and underpaid claims promptly * Review and interpret Explanation of Benefits (EOBs ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR ...
Resolve denied and underpaid claims promptly * Review and interpret Explanation of Benefits (EOBs ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR ...
Quick apply
Resolve denied and underpaid claims promptly * Review and interpret Explanation of Benefits (EOBs ... Use payer portals (e.g., Availity, Cigna, UHC, Navinet, Emblem) to check claim status * Analyze AR ...
Bremen, IN · On-site
$16.50 - $21/hr
Medical, Dental, & Vision Insurance through Cigna * Life Insurance * 403(b) Matching Retirement ... Enter authorization numbers and benefits accurately to support timely claims. Clerical ...
Bremen, IN · On-site
$16.50 - $21/hr
Medical, Dental, & Vision Insurance through Cigna * Life Insurance * 403(b) Matching Retirement ... Enter authorization numbers and benefits accurately to support timely claims. Clerical ...
$6.97 - $9.99
0% of jobs
$9.99 - $13
1% of jobs
$13 - $16.02
11% of jobs
$17.62 is the 25th percentile. Wages below this are outliers.
$16.02 - $19.03
25% of jobs
$19.03 - $22.05
13% of jobs
The median wage is $22.13 / hr.
$22.05 - $25.07
19% of jobs
$27.23 is the 75th percentile. Wages above this are outliers.
$25.07 - $28.08
9% of jobs
$28.08 - $31.10
5% of jobs
$31.10 - $34.11
9% of jobs
$34.11 - $37.13
5% of jobs
$37.13 - $40.14
3% of jobs
$6
$24
$40
As a Cigna Claims Representative, your typical day involves reviewing and processing insurance claims, investigating discrepancies, and communicating with customers, healthcare providers, and internal teams to ensure timely resolutions. You'll spend much of your time working on a computer, using specialized claims management software and responding to inquiries via phone or email. The role often requires balancing multiple priorities and maintaining accuracy under deadlines. Collaboration with other departments—such as customer service, underwriting, or medical review teams—is common, supporting a cooperative team environment. This structure helps ensure claims are handled efficiently and members receive the support they need.
To thrive as a Cigna Claims Representative, you need a solid understanding of health insurance policies, attention to detail, and strong analytical skills, usually supported by a high school diploma or equivalent and experience in claims processing. Proficiency with claims management systems, Microsoft Office Suite, and familiarity with industry software such as Facets or Salesforce is often expected. Exceptional communication, problem-solving abilities, and customer service orientation help candidates excel in high-volume, client-focused environments. These skills are essential for accurately adjudicating claims, providing excellent service, and maintaining compliance with regulatory standards.
A Cigna Claims Representative is responsible for processing and evaluating insurance claims to ensure accurate and timely payment. They review medical and policy information, communicate with customers and healthcare providers, and investigate claims for discrepancies or fraud. This role requires strong attention to detail, problem-solving skills, and knowledge of insurance policies. Representatives may also assist customers in understanding their benefits and resolving claim-related issues.

Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 2 days ago
7.2
Based on 11 frontline employees who took The Breakroom Quiz
36th of 105 rated pharmacies
Job Description
Responsibilities:New advocates complete a comprehensive training program that includes virtual classroom instruction, on-the-job learning, feedback, and gradually increasing productivity and quality expectations. After training, advocates are expected to meet established accuracy, volume, and production metrics.
Qualification:
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Get the full story on Breakroom
Sourced by ZipRecruiter
Health care and social assistance
1,001 - 5,000 Employees
Mercer Island, WA, US
2019