Claims Associate Analyst - Cigna Healthcare - Remote

Cigna Healthcare

2d • Remote

About The Position

The Claims Associate Analyst provides analytical and administrative support within the Claims organization. This role is responsible for reviewing, investigating, and evaluating insurance claims to determine coverage and support fair, timely resolution. The position works independently on assigned tasks while receiving regular guidance and review from more experienced Claims professionals.

Requirements

• Experience in claims processing, insurance, customer advocacy, or a related analytical or administrative role
• Strong attention to detail and ability to review and interpret documentation
• Effective written and verbal communication skills
• Ability to manage multiple priorities and meet deadlines
• Basic analytical and problem‑solving skills
• Minimum Education GED or High School Diploma

Nice To Haves

• Prior experience working with insurance claims or coverage determinations
• Familiarity with claims systems and documentation standards
• Experience communicating with external parties such as providers or legal representatives

Responsibilities

• Investigate and evaluate insurance claims by reviewing claim forms, documentation, and related records
• Determine coverage eligibility in accordance with policy terms and guidelines
• Use multiple methods of investigation to gather information and support claim resolution
• Negotiate claim settlements with claimants within established authority limits
• Communicate professionally with service providers, attorneys, policyholders, and other involved parties
• Prepare and complete required documentation, analyses, and claim-related outputs accurately and on time
• Identify trends or issues and provide recommendations for process improvements
• Prioritize assigned work, manage deadlines, and meet quality and productivity expectations
• Collaborate with Claims team members and escalate complex issues as appropriate

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees