About the Company
Cigna Healthcare is a global health service company dedicated to helping people improve their health, well-being, and peace of mind. With a focus on affordability and quality, Cigna offers a wide range of medical, dental, disability, life, and accident insurance products and services to customers around the world. We are committed to fostering an inclusive culture where employees can thrive and make a meaningful impact.
Job Description
Join Cigna Healthcare as a State/Provincial Disability Claims Processor and play a vital role in supporting our customers during challenging times. This rewarding position involves evaluating and processing disability claims in accordance with policy provisions, state regulations, and company guidelines. You will be responsible for ensuring accurate and timely benefit payments, providing exceptional customer service, and contributing to the overall well-being of our policyholders. This is an opportunity to make a tangible difference in people’s lives while advancing your career with a leading global health service company.
Key Responsibilities
- Analyze, review, and process new and ongoing state/provincial disability claims efficiently and accurately.
- Interpret policy language, state regulations, and medical documentation to make appropriate claim decisions.
- Communicate clearly and empathetically with claimants, employers, and healthcare providers via phone and written correspondence.
- Maintain detailed and accurate claim records and documentation in the claims management system.
- Identify and resolve claim discrepancies or complex issues, escalating as necessary.
- Ensure compliance with all internal policies, external regulations, and service level agreements.
- Collaborate with team members and other departments to optimize claim processing and customer service.
Required Skills
- Minimum of 2 years of experience in claims processing, insurance, or a related field.
- Strong analytical and decision-making abilities.
- Excellent written and verbal communication skills.
- Proficiency in using claims management software and Microsoft Office Suite.
- Ability to manage a diverse caseload and prioritize tasks effectively.
- High attention to detail and accuracy.
- Demonstrated ability to maintain confidentiality and handle sensitive information.
Preferred Qualifications
- Bachelor's degree in Business Administration, Healthcare Administration, or a related field.
- Experience with state-specific disability programs or regulations.
- Knowledge of medical terminology and disability assessment.
- Bilingual proficiency (e.g., Spanish) is a plus.
Perks & Benefits
- Competitive salary and performance-based bonuses.
- Comprehensive health, dental, and vision insurance plans.
- 401(k) retirement plan with company match.
- Paid time off (vacation, sick leave, holidays).
- Tuition reimbursement and professional development opportunities.
- Employee wellness programs and discounts.
- Generous parental leave.
- Hybrid work model flexibility.
How to Apply
If you are interested in this position, please click the "Apply Now" button below. To ensure your application is properly considered, please prepare the following:
- An up-to-date Resume or CV
- A brief cover letter summarizing your experience and motivation
Applications are reviewed on a rolling basis. Only shortlisted candidates will be contacted for an interview.
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