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Remote Cigna Claims Representative Jobs in Oregon

Claims Assistant

Happy Valley, OR · On-site +1

$19.75 - $25/hr

This role offers 100% remote work with periodic onsite activities and focuses on delivering ... Establish and maintain positive, productive relationships with sales representatives, roofing ...

Claims Assistant

Happy Valley, OR · On-site +1

$19.75 - $25/hr

This role offers 100% remote work with periodic onsite activities and focuses on delivering ... Establish and maintain positive, productive relationships with sales representatives, roofing ...

Director, Claims Remote Company Overview: AMSURG is an independent leader in ambulatory surgery ... The requirements listed below are representative of the knowledge, skills and/or abilities required.

Director, Claims Remote Company Overview: AMSURG is an independent leader in ambulatory surgery ... The requirements listed below are representative of the knowledge, skills and/or abilities required.

Property Adjuster

OR · On-site +1

... representation. * Contributes to business goals, performance metrics, and effectively uses tools ... Property Claims Adjusting: 2 year (Required) Work Location: Remote #allcatclaims

This role is mostly remote with some onsite/travel requirements. Will consider candidates in the ... Represents facility, physician, and or BH at case evaluations, pre-mediation meetings with families ...

$250/wk

This is a flexible, fully remote 1099 opportunity. You will be responsible for resolving claim ... The requirements listed are representative of the knowledge, skill, and/or ability required.

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Remote Cigna Claims Representative information

What skills and qualifications are needed to be a remote Cigna claims representative?

To thrive as a Remote Cigna Claims Representative, you need a solid understanding of health insurance policies, claims processing, and customer service principles, often requiring a high school diploma or equivalent. Familiarity with claims management software, CRM systems, and Microsoft Office Suite is typically expected. Strong attention to detail, problem-solving abilities, and effective communication are crucial soft skills for excelling in this role. These skills ensure accurate claims handling, efficient resolution of customer inquiries, and high-quality service delivery in a remote work environment.

What is the difference between Remote Cigna Claims Representative vs Remote UnitedHealth Claims Specialist?

AspectRemote Cigna Claims RepresentativeRemote UnitedHealth Claims Specialist
Required CredentialsHigh school diploma or equivalent; insurance claims processing experience; knowledge of healthcare policiesHigh school diploma or equivalent; claims processing experience; familiarity with healthcare billing
Work EnvironmentRemote, home-based office; computer and phone requiredRemote, home-based; computer and communication tools needed
Employer & Industry UsageCigna insurance company; healthcare and insurance industryUnitedHealth Group; healthcare and insurance industry
Common Search & Comparison IntentYesYes

The Remote Cigna Claims Representative and Remote UnitedHealth Claims Specialist roles both involve processing healthcare claims remotely, requiring similar credentials and work environments. The main difference lies in the employer and specific insurance policies they handle. Both positions are popular among job seekers looking for remote healthcare insurance roles, with overlapping responsibilities and industry usage.

What challenges do remote Cigna claims representatives face and how can they be managed?

Remote Cigna Claims Representatives often encounter challenges such as managing a high volume of claims, staying updated with ever-changing insurance policies, and ensuring clear communication with both providers and policyholders. Balancing productivity while maintaining accuracy and compliance is essential. To manage these challenges, it helps to develop strong organizational skills, regularly participate in training sessions, and utilize available digital tools for efficient workflow. Additionally, proactive communication with team members and supervisors can help resolve complex cases and foster a supportive remote work environment.

What is a remote Cigna claims representative?

Remote Cigna Claims Representatives are professionals who work from home to review, process, and resolve insurance claims for Cigna, a major health services company. They ensure that medical claims are accurate, complete, and comply with company policies and industry regulations. These representatives communicate with healthcare providers, policyholders, and other departments to gather necessary information and resolve discrepancies. Their role is essential in ensuring customers receive timely and accurate reimbursements for healthcare services.

What are popular job titles related to Remote Cigna Claims Representative jobs in Oregon?

For Remote Cigna Claims Representative jobs in Oregon, the most frequently searched job titles are:

What job categories do people searching Remote Cigna Claims Representative jobs in Oregon look for?

The top searched job categories for Remote Cigna Claims Representative jobs in Oregon are:

What cities in Oregon are hiring for Remote Cigna Claims Representative jobs?

Cities in Oregon with the most Remote Cigna Claims Representative job openings:

Infographic showing various Remote Cigna Claims Representative job openings in Oregon as of August 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 20% In-person, and 80% Remote job distribution.

Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA - Hybrid

Sedgwick

Portland, OR • Remote

Full-time

Medical, Dental, Vision, Retirement

Posted 24 days ago


Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 321 frontline employees who took The Breakroom Quiz

212th of 308 rated insurance


Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA - Hybrid

Are you lookingfor an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

  • Apply yourClaims Representative, WC knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

  • Enjoy flexibility and autonomy in your daily work, your location, and your career path.

  • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE?We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

WORK LOCATIONS: Hybrid work schedule, 2 days in office 3 days working from home.

PRIMARY PURPOSE OF THE ROLEToanalyze low level workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

  • Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

  • Negotiating settlement of claims within designated authority.

  • Communicating claim activity and processing with the claimant and the client.

  • Reporting claims to the excess carrier and responding to requestsofdirections in a professional and timely manner.

QUALIFICATIONS

Education & Licensing:High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.Professional certification as applicable to line of business preferred.

Experience:2years of claims management experience or equivalent combination of education and experience required.

Licensing / Jurisdiction Knowledge: WA

TAKING CARE OF YOU

  • Flexible work schedule.

  • Referral incentive program.

  • Opportunity to work in an agile environment.

  • Career development and promotional growth opportunities.

  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT REQUIREMENTSINCLUDE
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:Computer keyboarding,travel as required

Auditory/Visual: Hearing, vision and talking

#claimsexaminer#claims #hybrid#LI-REMOTE#Sedgwick #Hotjobs #portland #oregon

Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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