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Manager Cigna Claims Representative Jobs (NOW HIRING)

CarepathRx

Claims Representative - Remote

$19/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims Representative - Remote The claims representative is responsible for manually reviewing and ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...

Cottingham & Butler

Claims Representative

Asbury, IA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims Representative Location: Dubuque, Iowa - in office Join our Claims Academy - we are building ... Actively manage litigation This position will never leave you bored. No two claims are the same so ...

JGS Insurance

Claims Representative

Holmdel, NJ · On-site

Document in the agency management system all conversations with clients and/or carriers pertaining ... At least 3-5 years of experience working as a commercial claims representative at an insurance ...

Access Dubuque

Claims Representative

Dubuque, IA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims Representative Cottingham & Butler/ SISCO 1 Positions ID: 4017887008 Posted On 06/23/2025 ... Actively manage litigation This position will never leave you bored. No two claims are the same so ...

EquipmentShare

Claims Representative

Saint Louis, MO · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Future Claims Representative Opportunities at EquipmentShare! EquipmentShare is accepting ... Prepare reports on claim trends, outcomes, and customer feedback for management review. * Team ...

Athene

Claims Representative

West Des Moines, IA

A Claims Representative at Athene is responsible for researching and processing claims requests ... Manager. * Aids in administering the company's fraud prevention plan to ensure compliance with ...

Athene

Claims Representative

West Des Moines, IA · On-site

A Claims Representative at Athene is responsible for researching and processing claims requests ... Manager. * Aids in administering the company's fraud prevention plan to ensure compliance with ...

EquipmentShare

Claims Representative

Saint Louis, MO · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Future Claims Representative Opportunities at EquipmentShare! EquipmentShare is accepting ... Prepare reports on claim trends, outcomes, and customer feedback for management review. * Team ...

Addison Group

Claims Representative

Austin, TX · On-site

$21/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Claims Representative * Location: Austin, TX | Hybrid After Training (2 days onsite per week ... Ability to manage multiple priorities in a fast-paced environment * Proficiency with computers and ...

Mercury Insurance Services LLC/MIS

Claims Representative

$22.11/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims Representative Join an amazing team that is consistently recognized for our achievements and ... manage a high volume of claims. Has a passion for serving customers in their time of need.

Cottingham & Butler

Claims Representative

Dubuque, IA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Claims Representative you will: * Analyze and process claims * Talk with injured employees ... Actively manage litigation This position will never leave you bored. No two claims are the same so ...

Pinnacol

Claims Representative

Denver, CO · On-site

Manage the relationships with your stakeholders in order to obtain timely and accurate information. Effectively communicate your decisions and evaluate for customer understanding. * Determine ...

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Manager Cigna Claims Representative information

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How much do manager cigna claims representative jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for manager 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 the difference between Manager Cigna Claims Representative vs Claims Specialist?

AspectManager Cigna Claims RepresentativeClaims Specialist
CredentialsHigh school diploma or equivalent; often requires experience in claims processing; leadership skillsHigh school diploma or equivalent; claims processing knowledge; certification may be preferred
Work EnvironmentSupervisory role overseeing claims teams, office settingProcessing claims, customer service, data entry, office setting
Employer & Industry UsageInsurance companies, healthcare providers, corporate claims departmentsInsurance companies, healthcare providers, claims processing centers

The Manager Cigna Claims Representative typically oversees claims teams, requiring leadership skills and experience, while the Claims Specialist focuses on processing claims and customer service. Both roles are essential in the claims process but differ mainly in responsibility level and scope of duties.

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Manager Cigna Claims Representative jobs near you
Infographic showing various Manager Cigna Claims Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 12% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $51,091 per year, or $24.6 per hour.

Product Management Senior Manager - Cigna

Cigna

Saint Louis, MO • Remote

$123K - $162K/yr

Full-time

Posted 8 days ago

Cigna Healthcare rating

8.4

Company rating: 8.4 out of 10

Based on 238 frontline employees who took The Breakroom Quiz

23rd of 887 rated healthcare providers

Job description

SUMMARY:

The Product Management Senior Manager is responsible for evaluating, developing, and managing pharmacy product solutions that deliver value to clients and patients. Reporting to the Product Management Director, this role provides strategic oversight of Pharmacy Network Operations and key pharmacy product offerings, including Pharmacy Network Solutions, Price Assure, and other innovative programs. The position partners across teams to analyze market trends, identify growth opportunities, enhance operational processes, and drive continuous improvement through data-driven recommendations and product strategy development.

The successful individual in this role will have a deep understanding of pharmacy benefits, strong analytic skills, communication, leadership, project ownership, research and decision-making skills. Managing complex cases to timely "should we" decisions and ensuring leadership is aligned with all decisions.

RESPONSIBILITIES:

  • Troubleshoot client and internal questions regarding pharmacy networks while providing clear and concise responses based on findings.

  • Accountable for gathering appropriate stakeholders to make timely "should we" approve/deny decisions, based on thorough consideration and discussion.

  • Oversee product solutions and evolutions

  • Effectively escalate requests as needed to Product leadership and/or Sales leadership for appropriate decision making.

  • Engage pharmacy subject matter experts when applicable from pricing, underwriting, rebates, implementations, operations, clinical management, legal, compliance, IT, and other strategic partners to drive to an approve/deny decision that supports Cigna Pharmacy Management's overall strategic goals and priorities.

  • Fully understand and be able to articulate all Benefit, System and Product standards for all supported Cigna Pharmacy solutions.

  • Serve as a pharmacy product subject matter expert to assess any downstream (and upstream) impacts so that non-standard solutions are being fully thought through end-to-end.

  • Influence change to simplify interactions and improve E2E processes..

  • Oversee a team to ensure all current products, projects, and ad-hoc requests are being managed timely and effectively.

IDEAL CANDIDATES WILL HAVE A COMBINATION OF THE FOLLOWING:

  • Bachelor's degree preferred, or equivalent work experience in a pharmacy-related field.

  • 5+ years of pharmacy benefit management (PBM) experience, preferably supporting Commercial health plans.

  • Working knowledge of pharmacy-specific federal and state regulations.

  • Demonstrated knowledge of pharmacy products, benefits, and programs, including an understanding of platform and system nuances across multiple operational environments.

  • Strong knowledge of and experience with pharmacy network operations.

  • Strong analytical, problem-solving, and technical skills, with the ability to assess business needs, evaluate alternatives, and develop effective solutions.

  • Ability to understand and navigate the interdependencies between technology capabilities, system functionality, and business processes.

  • Experience analyzing information, assessing impacts and risks, and recommending process improvements and practical solutions.

  • Working knowledge of health benefit installation systems, processes, and claims adjudication.

  • Proficiency with Microsoft Office applications; experience with ePro, CIT, BST, or similar business systems preferred.

  • Proven ability to work independently, manage multiple priorities, meet service level commitments, and thrive in a fast-paced environment.

  • Strong decision-making skills with a high degree of initiative, accountability, and attention to detail.

  • Demonstrated ability to communicate effectively and influence stakeholders at all levels of the organization.

  • Ability to collaborate consultatively with peers, cross-functional partners, and leadership to achieve business objectives.

  • Proven track record of building partnerships, valuing diverse perspectives, and gaining support across multiple business areas.

  • Experience leading teams and fostering an inclusive, collaborative culture that drives enterprise-wide value and results.

  • Demonstrated success working with remote and geographically dispersed teams to achieve shared goals and objectives.

  • Self-starter with a strong work ethic, sense of urgency, and commitment to delivering high-quality outcomes.


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.

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.

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About Cigna

Sourced by ZipRecruiter

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Bloomfield, CT, US

Social media

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