Bengaluru Karnataka Claim processing Jobs – 215 Open Jobs Today

Claims Senior Representative
The Cigna Group —Bengaluru, Karnataka
- Full-time
- English
- Analysis skills
- Communication skills
Accounts/Admin/IR
Larsen & Toubro —Bengaluru, Karnataka
- ₹5,00,000 - ₹10,00,000 a year
- Finance
- Bachelor's degree
- Health insurance
Procure to Pay Operations Analyst
Accenture —Bengaluru, Karnataka
- Full-time
- English
- Finance
- Bachelor's degree
10d
Eligibility Senior Analyst
The Cigna Group —Bengaluru, Karnataka
- Full-time
- English
- Analysis skills
- Communication skills
Loan Operations Expert, AS
Deutsche Bank —Bengaluru, Karnataka
- Full-time
- Microsoft Word
- Microsoft Excel
- Finance
- Health insurance
13d
Senior Analyst - Payments Investigation
Société Générale —Bengaluru, Karnataka
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
4d
Accounts Executive - Fresher
Infomap Solutions Private Limited —Bangalore City, Bengaluru, Karnataka
- ₹2,50,000 - ₹2,83,000 a year
- Full-time
- Microsoft Excel
- Oracle
- Finance
Quick apply
7d
Claims Consultant
Watchyourhealth.com India Private Limited —Bangalore City, Bengaluru, Karnataka
- ₹23,000 - ₹25,000 a month
- Full-time
- English
- Analysis skills
- Bachelor's degree
Quick apply
Pricing OPS Analyst
Molex —Bengaluru, Karnataka
- Microsoft Excel
- Finance
- Analysis skills
Claims Supervisor
The Cigna Group —Bengaluru, Karnataka
- Full-time
- Microsoft Excel
- Analysis skills
- Supervising experience
Health Admin Services Associate
Accenture —Bengaluru, Karnataka
- Full-time
PRODUCT PRICING ANALYST I
TE Connectivity —Bengaluru, Karnataka
- Microsoft Excel
- Salesforce
- Microsoft Office
14d
Benefits Operations Professional
Siemens Healthineers —Bengaluru, Karnataka
- Full-time
- Analysis skills
Order to Cash Operations Associate
Accenture —Bengaluru, Karnataka
- Full-time
- English
- Finance
- Accounting
Manager - Operations (US Property & Casualty Insurance)
Insure Pro 2.0 —Whitefield, Bengaluru, Karnataka
- ₹10,00,000 - ₹20,00,000 a year
- Full-time
- Master's degree
- Bachelor's degree
- Business Administration
- Paid time off
- Paid sick time
Quick apply
Benefits Operations Coordinator - APAC
Waters Corporation —Bengaluru, Karnataka
- Hybrid work
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Consultant Business Systems (Revenue Cycle Applications Analyst)
Optum —Bengaluru, Karnataka
- Full-time
- Oracle
- Software troubleshooting
- Customer service
- Health insurance
5d
Claims Executive
Watchyourhealth.com India Private Limited —Bangalore City, Bengaluru, Karnataka
- ₹23,000 - ₹25,000 a month
- Full-time
- English
- Analysis skills
- Bachelor's degree
Quick apply
Global Banking & Markets Operations - TxB Client Service - Analyst - Bengaluru
Goldman Sachs —Bengaluru, Karnataka
- Analysis skills
- Bachelor's degree
- Communication skills
- Health insurance
Medical Officer
Medi Assist —Bengaluru, Karnataka
- Email
- Medicine
- Analysis skills
- Bachelor's degree

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Claims Senior Representative

The Cigna Group -
Bengaluru, Karnataka

Apply Now

Job details

Full-time

Qualifications

English
Analysis skills
Communication skills

Full job description

ROLE SUMMARY
As a Claims Senior Representative , 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 Subrogation).
You 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.
This 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.
KEY RESPONSIBILITIES
Operational Processing Complex Case Handling

Complete both standard and higher‑complexity back‑office tasks in line with SOPs and business rules e.g high cost authorisation.
Independently handle exceptions, unclear scenarios, and non‑routine cases within defined authority limits.
Review, investigate, and resolve aged, escalated, or priority cases.
Ensure all system updates, documentation, and case notes are accurate, complete, and audit‑ready.

Quality, Accuracy Compliance

Conduct peer reviews and quality checks as assigned by team leads or supervisors.
Identify and flag risk, recurring errors, procedural gaps, or accuracy risks and escalate promptly.
Support compliance by maintaining strict adherence to regulatory requirements, audit, and data‑protection requirements.
Promote high‑quality processing through consistent modelling of best‑practice standards.

Process Adherence Continuous Improvement

Interpret SOPs in complex or ambiguous situations and support colleagues in understanding them.
Provide actionable feedback on recurring issues, process inefficiencies, or unclear guidance.
Contribute to process improvement initiatives, working with SMEs or leads to refine workflows.
Assist in maintaining and updating reference materials (guides, templates, FAQs, checklists).

Coaching Knowledge Sharing

Provide informal coaching to Band 1 analysts and support knowledge transfer.
Assist with onboarding and skill‑building for new hires, demonstrating systems and workflows.
Act as a reliable point of contact for day‑to‑day operational questions.
Foster a collaborative environment by supporting peers and sharing effective practices.

Cross Team Collaboration‑Team Collaboration

Work collaboratively with peers, supervisors, and support teams (IT, Quality, Product, Compliance) when operational issues arise.
Escalate cases appropriately and assist with root cause understanding.
Collaborate across regions to support consistent delivery and knowledge sharing, including Middle East operations

Workflow, Data Reporting Support

Help monitor workflow queues, ensuring prioritised handling of critical cases.
Review operational data for trends, discrepancies, or recurring issues and highlight insights to leaders.
Ensure accurate data entry and case categorisation to support high‑quality reporting.
Provide input into operational dashboards or summaries when required.

Service Risk Awareness

Anticipate downstream impacts of processing decisions and ensure smooth end‑to‑end operations.
Escalate potential customer‑impacting or compliance risks promptly.
Support a culture of operational discipline, accuracy, and proactive problem‑solving.

YOUR PROFILE

4–6 years of experience in (claims/adjustments, admin, eligibility, onboarding, customer service support, subrogation or similar).
Strong understanding of operational workflows, SOPs, and system navigation.
Demonstrated ability to manage complex or escalated cases independently.
High attention to detail with consistent accuracy and reliability.
Ability to support and guide colleagues with process knowledge and practical insights.
Good analytical skills with the ability to interpret data and identify patterns or issues.
Strong written and verbal communication skills.
Customer‑focused mindset with awareness of how back‑office work impacts customer experience.
Adaptable, proactive, and comfortable navigating change or shifting priorities.
Fluent in English; additional languages beneficial.

KEY COMPETENCIES

Operational Expertise – Strong understanding of functional processes and SOPs.
Problem‑Solving – Investigates issues, identifies root causes, and proposes solutions.
Collaboration Coaching – Works effectively across teams, support peers and contributes to a strong team culture.
Quality Orientation – Focused on accuracy, compliance, and error reduction
Customer Focus – Ensures work contributes to positive customer outcomes.
Continuous Improvement – Actively looks for ways to streamline or enhance processes.
Communication – Clear, structured, and supportive communication with peers and leaders.
Time Priority Management – Manages complex workloads and deadlines efficiently.
System Navigation – Confident using multiple operational systems and learning new tools.

About The Cigna Group

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.

Apply Now

Refine Your Search

claim processing jobs in bengaluru karnataka

Claims Senior Representative

Accounts/Admin/IR

Procure to Pay Operations Analyst

Eligibility Senior Analyst

Loan Operations Expert, AS

Senior Analyst - Payments Investigation

Accounts Executive - Fresher

Claims Consultant

Pricing OPS Analyst

Claims Supervisor

Health Admin Services Associate

PRODUCT PRICING ANALYST I

Benefits Operations Professional

Order to Cash Operations Associate

Manager - Operations (US Property & Casualty Insurance)

Benefits Operations Coordinator - APAC

Consultant Business Systems (Revenue Cycle Applications Analyst)

Claims Executive

Global Banking & Markets Operations - TxB Client Service - Analyst - Bengaluru

Medical Officer

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