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Claims Associate Analyst

Claims SpecialistClaims SpecialistFull TimeRemoteMid LevelTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

Montana

Posted

82 days ago

Salary

0

Seniority

Mid Level

High SchoolEnglish

Job Description

Claims Associate Analyst

The Cigna Group

• 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

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

Benefits

  • Health insurance
  • Internet connection must be through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

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