Senior Provider Claims Support Analyst
The Cigna Group
full-time
Posted on:
Location Type: Remote
Location: Alabama • Alaska • United States
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Salary
💰 $62,200 - $103,600 per year
Job Level
About the role
- Provides daily operational support for claim issues arising from provider inquiries, as well as internally and externally identified claims issues
- Performs operational support activities including claim investigation, reject validation, and escalated issue management
- Collaborates with cross-functional internal and external teams to provide ongoing support of Sponsors and their requirements
- Serves as a subject matter expert in claims analytics and technical support
- Acts as a primary point of contact for internal partners regarding claim-related issues, managing ad hoc inquiries and facilitating provider outreach
Requirements
- Bachelor’s degree in a related field, or equivalent relevant work experience (preferred)
- Knowledge of the healthcare and/or PBM industry
- Strong problem-solving and analytical skills
- Ability to work cross-functionally to research and resolve complex client and provider issues on a regular basis
- Ability to manage multiple escalated issues simultaneously under tight timelines
- Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make decisions with minimal supervision
- Basic proficiency in Microsoft Office applications, including PowerPoint, email, and spreadsheet software
Benefits
- Health-related benefits including medical, vision, dental, and well-being and behavioral health programs
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- A minimum of 18 days of paid time off per year
- Paid holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims investigationreject validationclaims analytics
Soft skills
problem-solvinganalytical skillscross-functional collaborationissue managementadaptabilitydecision making