Claims Officer - Cigna Healthcare

Cigna Health and Life Insurance Company; Oman; Ibrido; OMR 16.000 - 25.000; Tempo pieno

Vantaggi offerti da questo lavoro

Private Medical Insurance

Educational Development Program

Hybrid working environment

Competitive salary

Descrizione del lavoro

Cigna Healthcare is seeking a Claims Associate Analyst for its Middle East Claims Operations. The role analyzes medical reimbursement and provider claims, reviews documentation, and ensures accurate, fair claim decisions.

The ideal candidate holds a healthcare qualification and can communicate clearly in English, with 1–2 years of relevant experience. A culture of collaboration and a hybrid work environment are offered along with development opportunities.

Competenze

• Healthcare qualification (BDS/MBBS/BAMS/BHMS or equivalent), Bachelor of Nursing or other clinical/ allied-health degree.
• 1–2 years of experience in medical claims, pre-authorization, medical billing, provider operations, or health insurance.
• Strong knowledge of medical terminology, diagnoses, procedures, and clinical documentation.

Mansioni

• Assess member reimbursement and provider claims accurately within quality, productivity, and turnaround standards.
• Review claim forms, medical reports, prescriptions, invoices, receipts, and supporting documentation.
• Validate eligibility, coverage, dates of service, diagnoses, procedures, and coding.
• Apply policy terms, benefits, deductibles, co-insurance, and member-sharing rules.
• Assess medical necessity and ensure services are supported by diagnosis and treatment.

Conoscenze

Medical claims

Analytical thinking

Attention to detail

Communication skills

Numerical skills

Formazione

Healthcare degree (listed)

Strumenti

Microsoft Office

Descrizione del lavoro

About Cigna Healthcare

About Cigna Healthcare Cigna Healthcare is a global health service company dedicated to transforming healthcare. With roots in the U.S. and operations in over 30 countries, we serve more than 180 million customers and patients worldwide. Ranked 14th on the Fortune 500 in 2026, Cigna is recognized as one of the most trusted and influential names in the industry. Our mission is to improve the health, well-being, and peace of mind of those we serve. You'll join a globally recognized organization where trust, clear communication, and a positive culture shape how we work. Our leaders are consistent, approachable, and supportive, helping you maintain balance while doing meaningful work. We look for people who thrive in collaborative environments, care about meaningful change, and want to grow in a company that puts people first. At Cigna Healthcare, your work contributes to better care experiences and supports customers through important moments in their lives.

About the Role

As a Claims Associate Analyst within Cigna Middle East Claims Operations, you will support the accurate and timely assessment of medical reimbursement and provider claims. You will use your healthcare knowledge to review medical information, policy benefits, and supporting documentation to help ensure claims are assessed fairly, consistently, and accurately. This is a great opportunity for a healthcare-qualified professional who is analytical, detail-oriented, and interested in building a career in health insurance and claims operations.

What You’ll Do

• Assess member reimbursement and provider claims accurately and within agreed quality, productivity, and turnaround-time standards.
• Review claim forms, medical reports, prescriptions, invoices, receipts, investigation results, proof of payment, and other supporting documentation.
• Validate member eligibility, coverage, dates of service, diagnoses, procedures, coding, billed amounts, provider details, and clinical evidence.
• Apply policy terms, benefits, limits, exclusions, clinical guidelines, pricing rules, deductibles, co-insurance, and member-share requirements.
• Assess medical necessity and ensure claimed services are supported by the diagnosis, documentation, and treatment provided.
• Identify incomplete documentation, duplicate or inconsistent billing, coding concerns, non-covered services, and unusual billing patterns.
• Maintain clear, complete, and auditable notes that support each claim decision.
• Request additional information when required and **escalate** complex, high-value, disputed, or medically unclear cases appropriately.
• Provide clear and professional explanations of claim decisions and documentation requirements to internal stakeholders.
• Handle confidential information responsibly and follow Cigna procedures, privacy standards, regulatory controls, and information-security requirements.

What You’ll Bring

• A recognised healthcare qualification such as BDS, MBBS, BAMS, BHMS or equivalent medical degree, Bachelor of Nursing, or another relevant clinical or allied-health qualification.
• Applications are welcomed from healthcare-qualified candidates beginning their careers, as well as candidates with one to two years of experience in medical claims, pre-authorization, medical billing, provider operations, or health insurance.
• Sound knowledge of medical terminology, diagnoses, procedures, treatment pathways, and clinical documentation.
• Basic understanding of ICD, CPT, health insurance benefits, exclusions, deductibles, and co-insurance, with a willingness to develop further expertise.
• Strong written and verbal communication skills in English.
• Strong analytical and numerical skills with excellent attention to detail.
• Ability to manage priorities, meet deadlines, and handle confidential information appropriately.

Soft Skills

• Strong analytical thinking and sound judgement.
• Excellent attention to detail and commitment to accuracy.
• Clear and professional written and verbal communication skills.
• Ability to prioritize workload and work effectively within deadlines.
• Collaborative approach when working with different teams and stakeholders.
• Willingness to learn and develop within a fast-paced health insurance environment.

Technical / Functional Skills

• Knowledge of medical terminology, diagnoses, procedures, treatment pathways, and clinical documentation.
• Basic understanding of ICD and CPT coding.
• Understanding of health insurance benefits, exclusions, deductibles, and co-insurance.
• Ability to review and interpret medical records and supporting claim documentation.
• Ability to adapt claims-processing systems and tools.
• Proficiency in Microsoft Office applications.

Nice to Have

• One to two years of experience in medical claims, preauthorization, medical billing, provider operations, or health insurance.
• Experience with reimbursement or provider claims.
• Experience working with international or Middle East medical claims.
• Previous exposure to healthcare or health insurance operations.

Why Join Us

• Competitive salary.
• Multicultural and hybrid working environment.
• Private Medical Insurance.
• Employee Wellbeing Benefits.
• Educational Development Program.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: [e-mail] for support. Do not email [e-mail] for an update on your application or to provide your resume as you will not receive a response.

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.