
Job Overview
Location
United States Work at Home
Job Type
Full-time
Category
Human Resources
Date Posted
April 2, 2026
Full Job Description
📋 Description
- • Lead a high-performing claims processing team of 17–20+ employees in the Supplemental Health Solutions division of The Cigna Group, ensuring accurate, timely, and compliant claims adjudication that directly supports the company’s mission to improve health outcomes for clients and patients.
- • Drive daily operations by setting clear expectations, translating business goals into actionable team priorities, and using eMOS tools and KPI dashboards to monitor performance, identify improvement opportunities, and maintain service-level commitments to internal and external stakeholders.
- • Coach, develop, and motivate team members through regular feedback, performance management, and skill-building initiatives focused on quality, accuracy, productivity, and adherence to regulatory and company standards.
- • Partner with HR, capacity planning, and resource management teams to align staffing levels, forecast workload, and ensure seamless execution of operational plans while meeting financial and client service targets.
- • Lead continuous improvement efforts by analyzing workflows, eliminating bottlenecks, and implementing process enhancements that increase efficiency without compromising compliance or quality.
- • Foster an inclusive, collaborative, and respectful virtual team culture that promotes psychological safety, open communication, and engagement across remote team members.
- • Ensure strict compliance with all company policies, procedures, and regulatory requirements governing claims processing, including HIPAA, state insurance regulations, and internal audit standards.
- • Communicate effectively in a fully remote environment using digital collaboration tools to maintain transparency, alignment, and team cohesion across distributed workforces.
- • Contribute to organizational goals by driving team performance that supports Cigna Healthcare and Evernorth Health Services’ mission to enhance the lives of clients, customers, and patients through innovative health solutions.
- • Develop leadership capabilities in operational excellence, change management, and people development while gaining deep expertise in supplemental health claims processing and healthcare operations management.
🎯 Requirements
- • High School Diploma or GED required; Bachelor’s degree preferred.
- • 2+ years of experience managing employees in Claims Operations, preferably within Supplemental Health Solutions or similar healthcare claims environments.
- • Proven ability to lead teams to meet or exceed quality and productivity goals using metric-driven performance management tools such as eMOS.
- • Strong coaching, communication, and problem-solving skills with demonstrated success in employee development and performance improvement.
- • Experience working with capacity planning, resource management, and cross-functional stakeholders to meet service, financial, and client commitments.
- • Ability to manage change, improve processes, and drive results in a dynamic, regulated healthcare operations environment.
🏖️ Benefits
- • Comprehensive health benefits starting day one, including medical, vision, dental, and well-being and behavioral health programs.
- • 401(k) retirement plan with company match, plus tuition reimbursement to support ongoing education and career growth.
- • Minimum of 18 days of paid time off per year, paid holidays, and company-paid life insurance.
- • Eligibility to participate in an annual bonus plan based on individual and organizational performance.
- • Remote work flexibility with the requirement of a reliable cable broadband or fiber optic internet connection (minimum 10Mbps download/5Mbps upload).
- • Access to Cigna’s holistic health resources and wellness programs designed to support employee well-being in all dimensions.
Skills & Technologies
About The Cigna Group
The Cigna Group is a global health services company formed in 1982 through the merger of Connecticut General and INA Corporation. It provides medical, dental, disability, life and accident insurance, pharmacy benefit management, and behavioral health services to employers, individuals and government entities. Headquartered in Bloomfield, Connecticut, the company operates in over 30 countries and jurisdictions, serving more than 180 million customer relationships worldwide through its subsidiaries and affiliates.
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