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Remote Cigna Claims Representative Jobs in Washington

Crawford and Company

Claims Specialist- Liab

Fairfax, VA · Remote

Remote Claims Specialist - Hybrid Ready to level up your career from the comfort of your home? Join ... Competitive base pay - The Pay Range/Salary represents the anticipated low and high pay that may be ...

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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 the most commonly searched types of Cigna Claims Representative jobs in Washington?

The most popular types of Cigna Claims Representative jobs in Washington are:

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

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

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

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

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

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

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

Senior Claims Representative - California Workers Compensation (Remote)

Berkley

Manassas, VA • Remote

$66K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New

Job description

BerkleyNet is an innovative workers compensation insurance provider that does all of our business online. Our Goal? To make doing business “Ridiculously Fast. Amazingly Easy.”


As a Senior Claims Representative, you will be responsible for the investigation, evaluation, mitigation and resolution of an inventory of lost time and catastrophic workers’ compensation injury claims in multiple jurisdictions.

  • Investigate workers’ compensation claims by interviewing injured workers, witnesses, and policyholders to verify coverage and determine compensability and benefits due
  • Calculate and set timely financial reserves and proactively manage reserve adequacy throughout claim lifecycle
  • Record and code injured worker demographics, job information and accident information in company’s claims management system and files necessary forms with state regulatory agencies
  • Issue timely payments to injured workers, medical providers and service vendors
  • Coordinate and actively manage medical treatment of injured workers to ensure timely rehabilitation
  • Negotiate settlements of claims within designated authority with injured workers and attorneys
  • Serve as the team’s subject matter expert of the Workers’ Compensation Act, adjudication process, and regulatory compliance framework in assigned jurisdictions
  • Identify and manage subrogation, Second Injury Fund and joint coverage recovery opportunities
  • Regularly communicate claim activity and status updates to policyholders, injured workers and other interested parties in a professional, thoughtful and tactful manner
  • Notify management and develop reports for large exposure claims and comply with reinsurance reporting requirements
  • Manage the claims litigation process to ensure timely and cost-effective claims resolution
  • Monitor the expenses and effectiveness of managed care and investigation vendors
  • Periodically travel to attend hearings, conferences and training sessions
  • Attend and participate in claim file reviews with management and defense attorneys
  • Coordinate and lead special projects or processes as assigned by management
  • Assists with oversight and supervisory duties when the team supervisor is unavailable or as assigned by supervisor
  • Support management with training and staff development
  • Support management with vendor management activities
  • Continuously strives to improve our product and business results through innovation
  • Obtain and maintain adjuster license(s) in assigned jurisdictions
Candidates with  California Workers' Compensation experience may be eligible for a remote work arrangement based on qualifications and business needs.

  • 3 - 5 years of experience handling workers’ compensation claims
  • Excellent written and verbal communication skills
  • Strong interpersonal and relationship building skills
  • Exceptional time management and organization skills
  • Strong analytical and critical thinking skills
  • Ability to work independently and strategically problem solve
  • Ability to diplomatically manage conflict
  • Ability to develop relationships within the organization and work effectively across departments
  • Strong discretion and integrity in dealing with highly confidential and sensitive information
  • Detail oriented

Education Requirement

  • Bachelors’ degree or equivalent insurance industry work experience
  • AIC, ARM, CCP, or CPCU insurance designation preferred

The Company is an equal employment opportunity employer.
We do not accept any unsolicited resumes from external recruiting firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees.
Base salary & Benefits include Health, dental, vision, life, disability, wellness, paid time off, 401(k) and profit-sharing plans.
Salary Range: 75k - 110k
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

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