Health Claims Examiner Coach - Cigna Healthcare - Remote

Cigna Healthcare

1d • Remote

About The Position

Are you passionate about empowering people and driving high‑quality outcomes? As a Health Claims Examiner Coach (Claims Lead Representative), you will play a critical role in supporting and developing Claims Examiners through real‑time coaching, quality guidance, and process improvement. You will help foster a positive, team‑focused environment while ensuring accurate and timely claims processing aligned with Allegiance standards.

Requirements

• High School Diploma or GED (Bachelor’s degree preferred)
• Minimum 1 year of experience with Allegiance processes, systems, and resources, including LuminX
• Strong computer skills with proficiency in Microsoft Word, Outlook, and WebEx
• Strong verbal and written communication skills
• Skilled listener with excellent interpersonal and teamwork abilities
• Customer‑focused mindset with attention to detail and accuracy
• Ability to motivate, influence, and support others in achieving performance goals
• If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Nice To Haves

• 1+ year of coaching, mentoring, or leadership experience
• 1+ year of experience with medical terminology and basic health insurance concepts
• Working knowledge of Excel and PowerPoint
• Ability to read and interpret benefit plans, insurance documents, and regulatory requirements
• Proven ability to work in a fast‑paced environment, manage multiple tasks, and solve problems effectively

Responsibilities

• Provide real‑time support to Claims Examiners by answering questions and managing multiple chat inquiries to resolve claim issues efficiently
• Monitor and coach on quality and productivity metrics, including accuracy and lines per hour
• Teach and coach by demonstrating claim processing best practices, driving improved accuracy and consistency
• Review claims to identify accuracy trends and patterns, sharing insights with the team and leadership
• Support and drive process improvement initiatives to enhance claim accuracy and overall outcomes
• Encourage Claims Examiners to effectively use tools, resources, and references while building their technical skills
• Partner with the Team Leader to support monthly statistics, reporting, and performance reviews
• Assist with Nesting activities, helping new Claims Examiners transition successfully from training to production

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED