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Claims Systems Configuration Associate
The Cigna Group. Complete claims systems testing tasks with guidance from a mentor and/or Claims Systems Quality Review Supervisor .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims systems testing, including proficiency in Microsoft Excel and SQL for data analysis. Strong communication and critical thinking skills are essential for investigating claim processing and coordinating testing efforts.
Highest-signal resume keywords
Claims Systems TestingMicrosoft Excel ProficiencySQL Query ExperienceClaims ConfigurationCritical Thinking
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims Systems TestingSQL QueriesData AnalysisClaims ConfigurationMicrosoft ExcelPivot TablesChartsFormulas
Soft Skills
Communication SkillsCritical ThinkingTechnical Competence
Tools & Technologies
JiraMicrosoft Access
Industry Keywords
Claims ProcessingHealth Care DataConfiguration ChangesBenefit Rules
Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- Complete claims systems testing tasks with guidance from a mentor and/or Claims Systems Quality Review Supervisor
- Use Jira and project methodologies to maintain tickets for claims systems testing requests
- Test proprietary claim edits, industry-standard claim edits, and benefit rules across claim products and programs
- Review, coordinate, and outline claims systems testing for claims configuration specialists
- Document testing in a Microsoft Excel tracker
- Test configuration changes to validate claims processing against requirements
- Use SQL queries to review configuration, testing, and claims data
- Investigate claim processing and determine configuration root causes
Requirements
What you’ll need- High school diploma or GED required
- Associate degree in a computer-related field preferred
- 2+ years of claims and health care data experience required
- 1+ year of experience in medical claims systems configuration preferred
- Experience running simple queries using Microsoft SQL
- Experience with Microsoft Access databases, including queries and data manipulation, preferred
- Proficiency in Microsoft Excel, including pivot tables, charts, and formulas, required
- Strong technical competence, critical thinking, and communication skills required
- Cable broadband or fiber optic internet service with at least 10 Mbps download and 5 Mbps upload for home working
- Must be eligible to work remotely in the United States
Benefits
Comp & perks- Annual bonus plan eligibility
- Medical, vision, and dental benefits starting on day one
- Well-being and behavioral health programs
- 401(k)
- Company-paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence