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Medical Claims Review Senior Analyst

IN1 Cigna Health Solutions India Private Limited

Bengaluru, Karnataka, India Full time June 24, 2026
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Opportunity Description

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 complaints expressed by Health Care Professionals
  • Utilizes effective communication, courtes...
    • Full time Business Operations Specialists

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    Opportunity Details

    Location Bengaluru, Karnataka
    Country India
    Type Full time
    Category Business Operations Specialists
    Posted June 24, 2026
    Deadline August 03, 2026

    About IN1 Cigna Health Solutions India Private Limited

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    IN1 Cigna Health Solutions India Private Limited

    Bengaluru, India

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