Claims Associate Analyst - Cigna Healthcare - Remote

The Cigna Group

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

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

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