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Remote Cigna Claims Representative Jobs in Oregon

Next Insurance

Claims Advocate

OR · On-site +1

$65K - $80K/yr

Remote ERGO NEXT's mission is to help entrepreneurs thrive. We're doing that by building the only ... legal representatives * Analytical Skills: Detail-oriented with a strong analytical approach to ...

Humana

Claims Research & Resolution Representative

OR · On-site +1

As a Claims Research & Resolution Representative 2, you will work with insurance companies ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Claims Research & Resolution Representative

OR · On-site +1

As a Claims Research & Resolution Representative 2, you will work with insurance companies ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Claims Research & Resolution Representative

OR · On-site +1

As a Claims Research & Resolution Representative 2, you will work with insurance companies ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Allcat Claims Service

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

Moda Health

RN Hospital Claims Auditor

Portland, OR · On-site +1

$78K - $98K/yr

Collaborate with other Moda areas to provide clinical policy representation at meetings to ensure ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.

Capitol Bridge, LLC.

$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.

Liberty Mutual

Associate Staff Attorney

Eugene, OR · On-site +1

Description This role is primarily remote in the state of Oregon except for required appearances ... Provide clear and reasoned legal opinions and strategic advice to Claims Representatives and ...

Liberty Mutual

Associate Staff Attorney

Portland, OR · On-site +1

Description This role is primarily remote in the state of Oregon except for required appearances ... Provide clear and reasoned legal opinions and strategic advice to Claims Representatives and ...

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Remote Cigna Claims Representative information

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 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 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 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.

Is Cigna a good company to work for remotely?

Remote Cigna Claims Representatives typically report positive work environments with flexible schedules and remote work options. The company offers training and tools necessary for the role, and employee reviews often cite good benefits and support, though experiences can vary by individual. Overall, it is considered a reputable employer for remote healthcare claims roles.

Is remote Cigna Claims Representative a stressful job?

A remote Cigna Claims Representative role can involve handling a high volume of claims and customer inquiries, which may contribute to work-related stress. The job requires attention to detail, communication skills, and the ability to manage deadlines, but individual stress levels vary based on workload and personal coping strategies.

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:

Remote Cigna Claims Representative jobs near you
Infographic showing various Remote Cigna Claims Representative job openings in Oregon as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Claims Advocate

Next Insurance

OR • On-site, Remote

$65K - $80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Job description

Location: Remote

ERGO NEXT's mission is to help entrepreneurs thrive. We're doing that by building the only technology-led, full-stack provider of small business insurance in the industry, taking on the entire value chain and transforming the customer experience. 

Simply put, wherever you find small businesses, you'll find ERGO NEXT.

Since 2016, we've helped hundreds of thousands of small business customers across the United States get fast, customized and affordable coverage. We're backed by industry leaders in insurance and tech, and we still have room to grow — that's where you come in.

As a Claims Advocate, you'll  manage a portfolio of new claims, utilizing your growing expertise to identify third-party negligence early in the process. Your role is to interpret policy language and analyze initial loss reports to ensure that liability is accurately assessed from day one. You'll collaborate with adjusters and site experts to build a solid foundation for every claim, developing the investigative rigor needed to thrive in a fast-paced commercial environment.

What You'll Do

  • Investigate and Assess Liability: Conduct thorough investigations to identify liable third parties and assess the liability and 
  • Claims: Initiate, document, and manage all aspects of general liability cases from identification through final resolution
  • Negotiate Settlements: negotiate and process denials per the policy. 
  • Evaluation: Establish the precise financial and legal merit of a loss
  • Collaborate with Our Claims Team:  Work alongside claims adjusters, legal partners, and vendors  to determine coverage and proper claim practices.
  • Documentation: Per our best practice claim handling and legal requirements. 
  • Policy Analysis and Compliance: Review and interpret policy language to align with company policies and relevant legal requirements
  • External Vendor Management: Engage and coordinate with outside vendors, specialists, attorneys, and investigators as needed.

What We Need

  • Technical Knowledge: Strong understanding of commercial property and liability insurance policies, as well as knowledge of relevant state and federal subrogation laws. Knowledge of construction methods is beneficial
  • Communication and Negotiation Skills: Proven ability to communicate effectively and negotiate with a range of stakeholders, including third-party insurers and legal representatives
  • Analytical Skills: Detail-oriented with a strong analytical approach to assessing claims and identifying coverage determination. 
  • Education: Bachelor's degree in Business, Insurance, or a related field is preferred
  • Experience: Minimum of 3+ years in GL Claims, with a focus on commercial property claims handling or commercial general liability assessment within the insurance industry. We are seeking professionals with experience handling commercial claims, property claims, and/or general liability cases specifically
  • Licensure: Candidates must have, or be able to promptly obtain, any and all appropriate Independent Adjuster License(s)

 

Note on Fraudulent Recruiting
We have become aware that there may be fraudulent recruiting attempts being made by people posing as representatives of ERGO NEXT Insurance. These scams may involve fake job postings, unsolicited emails, or messages claiming to be from our recruiters or hiring managers. 
Please note, we do not ask for sensitive information via chat, text, or social media, and any email communications will come from the domain @next-insurance.com or @nextinsurance.com. Additionally, Next Insurance will never ask for payment, fees, or purchases to be made by a job applicant. All applicants are encouraged to apply directly to our open jobs via the careers page on our website. Interviews are generally conducted via Zoom video conference unless the candidate requests other accommodations. 
If you believe that you have been the target of an interview/offer scam by someone posing as a representative of Next Insurance, please do not provide any personal or financial information. You can find additional information about this type of scam and report any fraudulent employment offers via the Federal Trade Commission's website (https://consumer.ftc.gov/articles/job-scams), or you can contact your local law enforcement agency. 
 

The range displayed on this job posting reflects the minimum and maximum target for new hire base salaries for the position across all US locations. Within the range, individual pay is determined by work location and additional factors, including, without limitation, job-related skills, experience, and relevant education or training. ERGO NEXT employees are also potentially eligible for our annual performance-based incentive program, in addition to our benefits package, consisting of our partially subsidized medical plan, fully subsidized vision/dental options, life insurance, disability insurance, 401(k), flexible paid time off, parental leave and more.

US annual base salary range for this full-time position:
$65,000—$80,000 USD

Don't meet every single requirement? Studies have shown that some underrepresented people are less likely to apply to jobs unless they meet every single qualification. At ERGO NEXT, we are dedicated to building a diverse, inclusive and respectful workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.

One of our core values is 'Play as a Team'; this means making sure everyone has an equal chance to participate and make a difference. We win by playing together. ERGO Next Insurance is an equal opportunity employer and prioritizes building a diverse and inclusive workplace. We provide equal employment opportunities to all employees and applicants of any type and do not discriminate based on race, color, religion, national origin, gender, age, sexual orientation, physical or mental disability, genetic information or characteristic, gender identity and expression, veteran status, or other non-job-related characteristics or other prohibited grounds specified in applicable federal, state, and local laws. ERGO Next's policy is to comply with all applicable laws related to nondiscrimination and equal opportunity and will not tolerate discrimination or harassment based on any of these characteristics. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.