Medical Claims Review Senior Analyst

IN1 Cigna Health Solutions India Private Limited · Bengaluru, Karnataka, India

Location

Bengaluru

Job Type

Full time

Posted

July 12, 2026

Job Description

Medical Claims Review Senior Analyst/Clinical supervisor – Complex Claim Unit
Provides clinical review expertise for high dollar and complex claims, including facility and professional bills. Provides cost containment services by identifying coding and billing errors and insuring application of Medical and Reimbursement Policies. Additionally identifies cases for potential fraud and abuse and makes referrals.
Major Job Responsibilities
Evaluates medical information against criteria, benefit plan, coverage policies and determines necessity for procedure and refers to Medical Director if criteria are not met
Evaluate itemized bills against reimbursement policies
Adheres to quality assurance standards
Serves as a resource to facilitate understanding of products
Handles some escalated cases; secures supervisory assistance with problem solving and decision making
Advises supervisory staff of any concerns or complain...
        

Ready to Apply?

Submit your application for Medical Claims Review Senior Analyst at IN1 Cigna Health Solutions India Private Limited

Apply Now