Claims Associate Representative (GHB) - PSO- Cigna Healthcare

CLAIMS ASSOCIATE REPRESENTATIVE (GHB) - PSO- CIGNA HEALTHCARE The Cigna Group ABOUT THE ROLE This entry-level position sits at the heart of our claims processing operations, where you'll take ownership of administrative and technical tasks that keep our partner claim data accurate and flowing smoothly. You'll become proficient in our policy administration systems, learn to identify and correct data issues using established procedures, and collaborate with IT teams to resolve complex problems. This is your gateway into a growing career in healthcare operations. YOUR DAY-TO-DAY RESPONSIBILITIES You'll spend your time managing a mix of structured tasks and problem-solving activities. Your core duties include preparing and organizing weekly reports, categorizing claims data by error type, and maintaining current tracker systems. You'll work directly in our policy administration system to correct straightforward data discrepancies—things like member numbers, procedure codes, diagnosis codes, service dates, and billing amounts—using established standard operating procedures as your guide. When issues fall outside your corrective authority, you'll escalate appropriately to supervisors or raise IT tickets, ensuring nothing falls through the cracks. You'll also manage adjustment and reconciliation reports, tracking claim numbers, preparing documentation sheets, and processing claim reversals according to predefined workflows. Mailbox management and handling escalated cases within agreed timeframes are key parts of keeping operations flowing. Beyond the hands-on processing work, you'll maintain meticulous documentation standards, add required claim comments, and ensure all reports and logs are properly archived. You're also expected to keep your eyes open for continuous improvement opportunities—whether in process mapping, reporting efficiency, or overall procedures—and flag these to your supervisor. General administrative support for business needs rounds out the role. WHAT WE'RE LOOKING FOR You thrive when working with structured processes and take genuine pride in accuracy. You're comfortable learning multiple internal systems and can navigate Excel confidently—sorting, filtering, adding columns, and organizing data tabs are second nature to you. Microsoft Office applications aren't intimidating. You manage repetitive work efficiently without losing focus, and you're naturally organized even when juggling several tasks. Strong written and verbal English communication is essential since you'll be coordinating with internal teams regularly. You can work independently with clear direction and close supervision, and you're proactive about flagging inconsistencies or system errors before they become bigger problems. While experience in administrative operations, data entry, or shared services roles is a nice-to-have, we're more interested in your attitude and aptitude. You must hold a Diploma or Degree-level qualification. KEY QUALITIES WE VALUE Meticulous attention to detail when handling data-driven work. Clear communication skills, both written and verbal, for working with colleagues. Strong organizational abilities and the capacity to prioritize within established frameworks. Practical problem-solving skills within defined rule-based parameters. An independent work style paired with comfort taking direction. Genuine proactive mindset in identifying and reporting issues. ABOUT CIGNA HEALTHCARE Cigna Healthcare, part of The Cigna Group, exists to guide people through the healthcare system and empower them to make choices that improve their health and vitality. We're building a better future in healthcare, and we welcome talented professionals from all backgrounds. Cigna is an equal opportunity employer. We consider all qualified applicants regardless of race, color, age, disability, sex, pregnancy or related medical conditions, sexual orientation, gender identity, veteran status, religion, national origin, ancestry, marital status, genetic information, public assistance status, citizenship, or any other legally protected characteristic. Candidates requiring reasonable accommodation during the application process should contact SeeYourselfEMEA@cigna.com for support.