Medical Claims Review Analyst
CignaOuter Ring Road, BangalorePosted 26 days agoA free account shows the apply link for every role and matches you to the ones that fit your resume.
About the role
Cigna Healthcare guides customers through the health care system and supports informed health decisions. This analyst reviews complex medical claims for necessity, reimbursement accuracy, coding and billing errors, and potential fraud.
What you'll do
- Evaluate medical information against criteria, benefits, and coverage policies
- Review itemized bills against reimbursement policies
- Identify coding and billing errors in claims
- Refer potential fraud, abuse, or questionable billing for follow-up
- Handle escalated cases and participate in focused reviews
Skills
Must have
- Clinical review
- Medical claims review
- Medical necessity review
- Medical coding
- Medical billing
- Healthcare reimbursement
Nice to have
- Utilization review
- Health insurance claims review
Tools
- Ms office
- Outlook
- Excel
- Access
- Sharepoint
Who it's for
- Education
- Bachelor's degree
- Degree
- medicine
- Experience
- 3+ years
- Domain
- health insurance
About Cigna
Cigna has 42 open roles in Bangalore, at Cigna Health Solutions India (CHSI). See every Cigna role.
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