Claims Associate Representative

The Cigna Group

. Review, research, and process accounts receivable claims in a timely and accurate manner .

Posted 11/4/2026full-timeRemote • United StatesJuniorMid-Level💰 $18 - $24 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical claims handling and accounts receivable processes, with strong analytical skills for interpreting EOBs/EOPs. Maintains compliance with payer policies and organizational standards while ensuring timely resolution of claims.

Highest-signal resume keywords

Medical Claims HandlingAccounts Receivable ExperienceAnalytic SkillsMicrosoft Office ProficiencyAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingReconciliationEOB InterpretationBasic Mathematics CalculationsDocumentation Skills

Soft Skills

Time ManagementPlanning and OrganizingIndependent and Collaborative Work

Tools & Technologies

Microsoft WordMicrosoft OutlookMicrosoft Excel

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Payer PoliciesCompliance RequirementsClaim Status MonitoringClaim ResolutionOutstanding Balances

About the role

Key responsibilities & impact

Review, research, and process accounts receivable claims in a timely and accurate manner
Investigate denied, delayed, or underpaid claims, identify root causes, and take corrective actions
Communicate via outbound calls with third party payers, providers, and internal departments to resolve claim-related issues
Document all claim activity and maintain detailed records in compliance with organizational standards
Monitor claim status and follow up to ensure prompt resolution and payment
Escalate complex claims or unresolved issues to senior representatives or management when necessary
Maintain a strong understanding of payer policies, compliance requirements, and company procedures
Ensure complete review of outstanding balances related to claims
Demonstrate effective judgment when processing claims with outstanding balances

Requirements

What you’ll need

High school Diploma or GED
2+ years of experience with medical claims handling and/or accounts receivable experience
2+ years of experience with reconciliation, analytic skills, and the ability to interpret EOBs/EOPs, highly preferred
Proficient in Microsoft Office Products (Word, Outlook, Excel), required
Able to work both independently and collaboratively with a team, required
Highly oriented to detail, planning and organizing skills, required
Ability to work in a fast-paced environment, required
Time management and documentation skills
Ability to perform basic mathematics calculations, required
A high level of accuracy and attention to detail
For home working, internet service through a cable broadband or fiber optic provider with at least 10Mbps download/5Mbps upload

Benefits

Comp & perks

Annual bonus plan eligibility
Medical, vision, and dental benefits starting on day one
Well-being and behavioral health programs starting on day one
401(k)
Company-paid life insurance
Tuition reimbursement
Minimum of 18 days of paid time off per year
Paid holidays
Leaves of absence
Remote/home-based work option
Cable broadband or fiber optic internet requirement for home working