{"id":393809,"url":"https://alion.io/job/the-cigna-group-claims-senior-representative","title":"Claims Senior Representative","company":{"id":13928,"name":"The Cigna Group","domain":"thecignagroup.com","url":"https://alion.io/company/thecignagroup","size_band":"5000+","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"A","score":90,"open_postings":82,"ghost_share":0.024,"stale_share":0.5,"repost_share":0.073,"time_to_fill_p50_days":20,"computed_at":"2026-11-01T06:10:25Z"}},"role":"Operations","role_family":"Operations","seniority":"senior","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Bengaluru, India"],"countries":["IN"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":10000,"max_usd":23000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":25},"experience_years_min":1,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-07-13T00:00:00Z","employer_posted_date":"2026-07-13","last_verified_at":"2026-11-01T14:34:39Z","board_verified":true,"closed_at":null,"days_open":111,"trust":{"level":"stale","repost_count":0,"flags":["stale"],"days_open":111},"description":"ROLE SUMMARY\nAs a Back Office Operations Senior Analyst (Band 2), you will play a critical role in delivering accurate, timely, and high-quality operational processing across your function (e.g., Claims/Adjustments, Eligibility, Administration, Customer Service Support, Client Setup and Subrogration).\nYou will handle higher-complexity cases, support workflow management, provide guidance to colleagues, and help drive quality, accuracy, and operational consistency. Acting as a reliable escalation point for Band 1 analysts, you contribute directly to operational excellence by applying deeper process knowledge, problem-solving capability, and proactive risk identification.\nThis role keeps operations running smoothly by ensuring work is completed right the first time, supporting continuous improvement, and helping maintain control, compliance, and strong service outcomes.\nKEY RESPONSIBILITIES\nOperational Processing & Complex Case Handling\nComplete both standard and higher-complexity back-office tasks in line with SOPs and business rules e.g high cost authorisation.\nIndependently handle exceptions, unclear scenarios, and non-routine cases within defined authority limits.\nReview, investigate, and resolve aged, escalated, or priority cases.\nEnsure all system updates, documentation, and case notes are accurate, complete, and audit-ready.\nQuality, Accuracy & Compliance\nConduct peer reviews and quality checks as assigned by team leads or supervisors.\nIdentify and flag risk, recurring errors, procedural gaps, or accuracy risks and escalate promptly.\nSupport compliance by maintaining strict adherence to regulatory requirements, audit, and data-protection requirements.\nPromote high-quality processing through consistent modelling of best-practice standards.\nProcess Adherence & Continuous Improvement\nInterpret SOPs in complex or ambiguous situations and support colleagues in understanding them.\nProvide actionable feedback on recurring issues, process inefficiencies, or unclear guidance.\nContribute to process improvement initiatives, working with SMEs or leads to refine workflows.\nAssist in maintaining and updating reference materials (guides, templates, FAQs, checklists).\nCoaching & Knowledge Sharing\nProvide informal coaching to Band 1 analysts and support knowledge transfer.\nAssist with onboarding and skill-building for new hires, demonstrating systems and workflows.\nAct as a reliable point of contact for day-to-day operational questions.\nFoster a collaborative environment by supporting peers and sharing effective practices.\nCross Team Collaboration-Team Collaboration\nWork collaboratively with peers, supervisors, and support teams (IT, Quality, Product, Compliance) when operational issues arise.\nEscalate cases appropriately and assist with root cause understanding.\nCollaborate across regions to support consistent delivery and knowledge sharing, including Middle East operations\nWorkflow, Data & Reporting Support\nHelp monitor workflow queues, ensuring prioritised handling of critical cases.\nReview operational data for trends, discrepancies, or recurring issues and highlight insights to leaders.\nEnsure accurate data entry and case categorisation to support high-quality reporting.\nProvide input into operational dashboards or summaries when required.\nService & Risk Awareness\nAnticipate downstream impacts of processing decisions and ensure smooth end-to-end operations.\nEscalate potential customer-impacting or compliance risks promptly.\nSupport a culture of operational discipline, accuracy, and proactive problem-solving.\nYOUR PROFILE\n1-2+ years of experience in a back-office operations environment (claims/adjustments, admin, eligibility, onboarding, customer service support, subrogation or similar).\nStrong understanding of operational workflows, SOPs, and system navigation.\nDemonstrated ability to manage complex or escalated cases independently.\nHigh attention to detail with consistent accuracy and reliability.\nAbility to support and guide colleagues with process knowledge and practical insights.\nGood analytical skills with the ability to interpret data and identify patterns or issues.\nStrong written and verbal communication skills.\nCustomer-focused mindset with awareness of how back-office work impacts customer experience.\nAdaptable, proactive, and comfortable navigating change or shifting priorities.\nFluent in English; additional languages beneficial.\nKEY COMPETENCIES\nOperational Expertise - Strong understanding of functional processes and SOPs.\nProblem-Solving - Investigates issues, identifies root causes, and proposes solutions.\nCollaboration & Coaching - Works effectively across teams, support peers and contributes to a strong team culture.\nQuality Orientation - Focused on accuracy, compliance, and error reduction\nCustomer Focus - Ensures work contributes to positive customer outcomes.\nContinuous Improvement - Actively looks for ways to streamline or enhance processes.\nCommunication - Clear, structured, and supportive communication with peers and leaders.\nTime & Priority Management - Manages complex workloads and deadlines efficiently.\nSystem Navigation - Confident using multiple operational systems and learning new tools.\nAbout The Cigna Group\nCigna 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.","description_format":"text","description_chars":5563,"description_truncated":false,"requirements":{"experience_years_min":1,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[{"language":"English","level":"Advanced (C1)","optional":false}]},"benefits":[],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Pharmacies","Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-09-05T23:37:08Z"}],"visa":[],"liveness":{"score":7,"band":"cold","label":"Long shot","p_open":1,"p_active":0.246,"p_room":0.28,"age_days":111,"expected_fill_days":20,"reasons":["conf:2","stale_co","velocity","win:tail","crowd:brand"],"computed_at":"2026-11-01T06:10:25Z"},"pay":null,"html_url":"https://alion.io/job/the-cigna-group-claims-senior-representative","json_url":"https://alion.io/job/the-cigna-group-claims-senior-representative.json","meta":{"generated_at":"2026-11-01T17:57:38Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":27464,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-02T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":13928},"rest":"https://alion.io/mcp/rest/get_company?id=13928"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fthe-cigna-group-claims-senior-representative"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fthe-cigna-group-claims-senior-representative"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fthe-cigna-group-claims-senior-representative"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/the-cigna-group-claims-senior-representative\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fthe-cigna-group-claims-senior-representative"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":393809}},{"tool":"search_jobs","arguments":{"company":"thecignagroup.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":393809},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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