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Remote Cigna Claims Representative Jobs (NOW HIRING)

Brown University Health

Claims Follow Up Rep

Providence, RI · On-site +1

$19.97 - $32.96/hr

SUMMARY Under general supervision of the PFS Supervisor of Claims Follow-up and Denials, performs ... WORKING CONDITIONS Position can be fully remote, hybrid or in-office. Manager will approve work ...

Brown University Health

Claims Follow Up Rep

Providence, RI · On-site +1

$19.97 - $32.96/hr

SUMMARY Under general supervision of the PFS Supervisor of Claims Follow-up and Denials, performs ... WORKING CONDITIONS Position can be fully remote, hybrid or in-office. Manager will approve work ...

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Remote Cigna Claims Representative information

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

As of Jun 9, 2026, the average hourly pay for remote 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 are the key skills and qualifications needed to thrive as a Remote Cigna Claims Representative, and why are they important?

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 are some typical challenges faced by Remote Cigna Claims Representatives, and how can they be managed effectively?

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 are Remote Cigna Claims Representatives?

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.
More about Remote Cigna Claims Representative jobs
What cities are hiring for Remote Cigna Claims Representative jobs? Cities with the most Remote Cigna Claims Representative job openings:
What are the most commonly searched types of Cigna Claims Representative jobs? The most popular types of Cigna Claims Representative jobs are:
What states have the most Remote Cigna Claims Representative jobs? States with the most job openings for Remote Cigna Claims Representative jobs include:
What job categories do people searching Remote Cigna Claims Representative jobs look for? The top searched job categories for Remote Cigna Claims Representative jobs are:
Remote Cigna Claims Representative jobs near you
Infographic showing various Remote Cigna Claims Representative job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $51,091 per year, or $24.6 per hour.
Claims Representative, Auto | PIP | Remote

Claims Representative, Auto | PIP | Remote

Sedgwick

Seven Hills, OH • Remote

$50K - $55K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Sedgwick rating

7.5

Company rating: 7.5 out of 10

Based on 306 frontline employees who took The Breakroom Quiz

194th of 260 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, Auto | PIP | Remote
PRIMARY PURPOSE OF THE ROLE: To evaluate auto claims involving injured parties and manage first party medical treatment to determine eligibility under a personal injury protection and/or medical payment benefits.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
  • Reviews claims to determine the nature of the medical loss and provides explanation of coverage
  • Researches policy contract and interprets policy language to make coverage decisions based on 1st party medical coverage.
  • Assesses medical treatment, evaluates medical bills, and initiates or reviews potential fraud investigations.
  • Interprets medical records regarding injuries and addresses ongoing and continuous treatment for claimant.
  • Identifies claim exposures and establishes reserves or adjust reserves accordingly on assigned files.
  • Ensures claim files are properly documented and correctly coded based on the policy.
  • Documents all claim activity and workflow accurately throughout the life of the claim in accordance with standard operating procedures.
  • Provides effective and timely communication to client, claimants, medical providers, attorney offices, and vendors.
  • Negotiates resolution of claims and makes payments within authority.
  • Performs other duties as assigned.
QUALIFICATIONS
Education & Licensing: Bachelor's degree from an accredited college or university preferred. State adjuster licenses required.
Experience
Three (3) years of Personal Injury Protection (PIP), medical payment and/or workers compensation or equivalent combination of education and experience, nursing experience a plus.
Skills: knowledge of medical terminology and appropriate application of deductibles and limits, familiarity with Bodily Injury (BI)/Casualty adjusting, oral and written communication skills, PC literate, including Microsoft Office products, and organizational skills required

Work environment requirements include:
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $50,000-$55,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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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