Position Summary

The Claims Manager leads the day-to-day operations of the claims organization, managing Claim Supervisors and/or Project Lead Analysts. This role partners closely with internal stakeholders and Global Service Partners (GSPs) to ensure appropriate staffing, inventory control, quality outcomes, and achievement of performance metrics across assigned claim platforms.

Key Responsibilities

• Lead and develop Claim Supervisors, ensuring performance aligns with established KPIs, quality standards, and processing timelines.
• Drive efficient inventory management to meet time-to-process, quality, and LPI goals.
• Partner with Global Service Partners to achieve SLA commitments and operational objectives.
• Collaborate with workforce management to balance staffing levels and operating expenses.
• Analyze eMOS and operational data to identify trends, remove barriers, and improve efficiency.
• Coach, mentor, and develop high-performing teams while supporting talent development, engagement, and retention.
• Demonstrate managerial courage in performance management and deliver clear, transparent communication.
• Communicate effectively with senior leaders and ensure timely, accurate information flow to staff.

Qualifications

• High School Diploma or GED required. Bachelor’s degree preferred.
• 2+ years of Senior Supervisory experience highly preferred.
• 4+ years of Claims Management experience, including metrics management, quality oversight, auto-adjudication, performance guarantees, and eMOS preferred.
• Proven experience partnering with Global Service Partners.
• Demonstrated ability to manage capacity, staffing, and inventory.
• Strong written, verbal, and data visualization communication skills.
• Proven change leadership, problem-solving skills, and ability to influence teams.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 86,700 - 144,500 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.

About The Cigna Group:

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.

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: See Yourself@cigna.com for support. Do not email See Yourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.