Listed on Cigna’s own careers site. You apply with them directly — we never stand between you and the employer.
What this role is
This role involves reviewing medical claims and authorizations for health insurance coverage, assessing clinical documentation against medical guidelines and policy requirements. It suits detail-oriented professionals with healthcare knowledge who can manage multiple claim reviews under time pressure while ensuring compliance with clinical standards.
Our summary, not Cigna’s wording. The full posting is on their site.
What they ask for
Required
- Assess medical hospitalizations and surgeries against policy and clinical guidelines
- Evaluate complex cancer cases using international medical standards (FDA, NCCN)
- Review medications and diagnostic tests for compliance with medical guidelines (FDA, Department of Health)
- Manage multiple claim priorities including daily cases, inquiries, and ad hoc tasks