Cigna Claims Representative Jobs (NOW HIRING)

Role Summary

Are you passionate about developing talent and building strong foundational skills? As a Claims Examiner Trainer (Technical Training Lead Representative), you will play a critical role in onboarding and developing Claims Examiners through structured training, facilitation, and knowledge transfer. You will assist in designing and delivering engaging learning experiences that promote accuracy, efficiency, confidence, and independence in claims processing. In this role, you will help foster a positive, team-focused environment while ensuring all training aligns with Allegiance standards, processes, and quality expectations.

Key Responsibilities

• Develop and lead training for new claims examiners either in one and one or group training as directed (including training on all milestone items)
• Maintain and update training milestones as needed
• Complete series of Allegiance Core Trainings (ACTs) as employees are hired
• Review, enhance and update ACTs and track changes
• Assist in refresher training for current claims examiners either in one on one or group training as directed
• Learn different groups across our book of business
• Communicate trainee progress to Onboarding Coordinator
• Schedule and lead bi-weekly training update meetings with Onboarding Team Leader for each trainee.
• Promptly report any trainee issues including personnel, training progress, etc. to the Onboarding Team Leader and Claims Examiner Training Team Leader.
• Intermittent travel
• Contribute to the daily workflow with regular and punctual attendance.
• While training new claims examiners, fulfill all claims examiner functions as listed below:
  • Ensures accurate and complete claims processing by verifying required documentation, collaborating with relevant parties to obtain necessary information, and confirming system adjudication aligns with plan provisions.
  • Prepares and distributes written correspondence to plan participants and providers regarding pre-determinations and responses to basic benefit inquiries.
  • Is a support and resource to the department when necessary

Required Qualifications

• High School Diploma or GED (Bachelor's degree preferred)
• Strong computer skills with proficiency in Microsoft Word, Outlook, and Teams

Preferred Qualifications

• Strongly preferred 1+ year of claims examining experience with Allegiance's processes, systems, and resources, including LuminX
• 1+ year of coaching, mentoring, or training experience
• 1+ year of experience with medical terminology and basic health insurance concepts
• Working knowledge of Excel and PowerPoint
• Ability to read and interpret benefit plans, insurance documents, and regulatory requirements
• Proven ability to work in a fastpaced environment, manage multiple tasks, and solve problems effectively

Core Skills & Competencies

• Strong verbal and written communication skills
• Skilled listener with excellent interpersonal and teamwork abilities
• Customerfocused mindset with attention to detail and accuracy
• Ability to motivate, influence, and support others in achieving performance goals

About Allegiance by Cigna Healthcare

Since 1981, Allegiance by Cigna Healthcare has specialized in administering medical benefits, including claims processing, customer service, utilization management, and case management. With a hightouch approach to member and client service, Allegiance supports some of the nation's most innovative health benefit strategies.

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 22 - 33 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 and paid holidays. For more details on our employee benefits programs, click here.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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.