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Cigna Claims Representative Jobs (NOW HIRING)

Centivo

Client Success Manager

Buffalo, NY · Remote

$75K - $80K/yr

Handle client inquiries and collaborate with claims and member care to resolve them. * Support ... Enter SRS tickets for Cigna issues and track them through to resolution. * Elevate client inquiries ...

SupportFinity™

Head of Product

Austin, TX · On-site

$180 - $240/hr

... claims processing. Backed by Valtruis, Cigna Group Ventures, Asset Management Ventures and ... Own the product narrative -- internally and externally -- and represent product in board, investor ...

Autonomize, Inc

Head of Product Austin 10+

Austin, TX · On-site

$180 - $280/hr

... management, and claims processing. Backed by Valtruis, Cigna Group Ventures, Asset Management ... Own the product narrative -- internally and externally -- and represent product in board, investor ...

Autonomize Inc

Head of Product

Austin, TX · On-site

$231K - $241K/yr

... management, and claims processing. Backed by Valtruis, Cigna Group Ventures, Asset Management ... Own the product narrative - internally and externally - and represent product in board, investor ...

Gutor

Field Service Engineer

Houston, TX

$85K - $100K/yr

Representing Gutor in dealing with customer concerns. Promoting proactively Gutor services ... Evaluation of Warranty / Goodwill claims. REQUIRED QUALIFICATIONS Electrical technician with at ...

Gutor

Field Service Engineer

Houston, TX · On-site

$85K - $100K/yr

... Representing Gutor in dealing with customer concerns. • Promoting proactively Gutor services ... Cigna Dental an Vision Insurance * 100% Company paid Short-Term Disability and Long-Term Disability ...

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Cigna Claims Representative information

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How much do cigna claims representative jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for cigna claims representative in the United States is $24.56, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $28.85 per hour, depending on experience, location, and employer.

What is a Cigna claims representative?

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.

What is a typical workday like for a Cigna claims representative?

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.

What are the key skills and qualifications needed to thrive in the Cigna claims representative position?

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.

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Cigna Claims Representative jobs near you
Infographic showing various Cigna Claims Representative job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $51,091 per year, or $24.6 per hour.

Medical Billing Specialists

SIGNATURECARE EMERGENCY CENTER MASTER

Houston, TX

$19 - $22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

Job description

The Medical Billing / NSA / IDR Specialist processes out-of-network emergency claims under the No Surprises Act (NSA), with a primary focus on the Independent Dispute Resolution (IDR) process. This role is responsible for reviewing claims, preparing required documentation, and submitting cases accurately and on time to support appropriate reimbursement. Key duties include submitting open negotiations and IDR cases, following up with insurance carriers, mediators, and IDR entities, and resolving outstanding issues such as underpayments, missing information, or payment delays. The specialist maintains accurate records, updates internal tracking systems, and ensures that all work adheres to federal guidelines and internal procedures. The NSA/IDR Specialist is expected to communicate effectively, support team workflows, and help identify training needs, while consistently meeting daily, weekly, and monthly productivity goals.

• Minimum Education: High School Diploma/G.E.D.
• Minimum 1 year of experience with insurance follow-up and NSA/IDR process.
• Understanding of in-network vs. out-of-network facility and physician claims
• Ability to read and interpret Explanations of Benefits (EOBs)
• Experience with commercial payers (UHC, Cigna, Aetna, BCBS, etc.) preferred
• Strong written and verbal communication skills
• Comfortable handling payer phone calls and follow-ups
• Basic proficiency with billing systems and Microsoft Excel/Word
• Ability to work independently and meet deadlines in a high-volume environment

JOB RESPONSIBILITIES/DUTIES

• Manage the full lifecycle of Independent Dispute Resolution (IDR) cases, from initial open negotiation to final determination.
• Validate claims for NSA applicability and eligibility for the Federal or State IDR process.
• Prepare/review the accuracy of all NSA/IDR submissions, including payment offers, supporting documents, within strict federal and state deadlines.
• Track and document all IDR cases outcomes, payments, and administrative fee allocation.
• Track and follow up on additional receivables through the IDR process and the Mediation fee refund.
• Communicate with insurance carriers, IDR entities, and internal teams as needed.
• Maintain accurate logs and documentation in billing systems.
• Meet established productivity, accuracy, and timeliness expectations.
• Follow department workflows and compliance guidelines.
• Perform related duties as assigned by leadership

WORKING CONDITIONS

• Frequent speaking, listening, using a headset, use of hands/fingers across keyboard or mouse, handling other objects, and long periods working at a computer.
• Service center with moderate noise level due to representatives talking, computers, printers, and floor activity.
• While performing duties of this job, the employee is frequently required to stand, walk, and sit.
• Must submit to random drug screenings.

Full-Time Benefit Perks:

  • Health benefits start on the first of the month after hire
  • Medical, dental, and vision plans with sliding-scale premiums
  • 100% coverage for preventive health services
  • HSA and FSA options available
  • Company-paid life insurance and long-term disability
  • 401(k) with contributions starting after 30 days
  • 100% match on the first 4%, 
  • Full vesting after 3 years
  • Access to exclusive employee discounts on travel, fitness, shopping, and more
  • Paid Time Off
  • Paid Holiday

Join us and make a significant impact on our company’s success in reaching our target audience and driving business growth.

Apply