Claims Officer

Claims Officer
- Cigna Healthcare# The Cigna Group Careers## Claims Officer
- Cigna HealthcareApply: Hybrid: Muscat, Oman: Full time: Posted Today: End Date: November 30, 2026 (30+ days left to apply): About Cigna Healthcare Cigna Healthcare is a global health service company dedicated to transforming healthcare. With roots in the U.
S. and operations in over 30 countries, we serve more than 180 million customers and patients worldwide. Ranked 14th on the Fortune 500 in 2026, Cigna is recognized as one of the most trusted and influential names in the industry. Our mission is to improve the health, well-being, and peace of mind of those we serve. You’ll join a globally recognized organization where trust, clear communication, and a positive culture shape how we work. Our leaders are consistent, approachable, and supportive, helping you maintain balance while doing meaningful work. We look for people who thrive in collaborative environments, care about meaningful change, and want to grow in a company that puts people first. At Cigna Healthcare, your work contributes to better care experiences and supports customers through important moments in their lives.

About the Role
As a Claims Associate Analyst within Cigna Middle East Claims Operations, you will support the accurate and timely assessment of medical reimbursement and provider claims. You will use your healthcare knowledge to review medical information, policy benefits, and supporting documentation to help ensure claims are assessed fairly, consistently, and accurately. This is a great opportunity for a healthcare-qualified professional who is analytical, detail-oriented, and interested in building a career in health insurance and claims operations. What You’ll DoAssess member reimbursement and provider claims accurately and within agreed quality, productivity, and turnaround-time standards.
Review claim forms, medical reports, prescriptions, invoices, receipts, investigation results, proof of payment, and other supporting documentation.
Validate member eligibility, coverage, dates of service, diagnoses, procedures, coding, billed amounts, provider details, and clinical evidence.
Apply policy terms, benefits, limits, exclusions, clinical guidelines, pricing rules, deductibles, co-insurance, and member-share requirements.
Assess medical necessity and ensure claimed services are supported by the diagnosis, documentation, and treatment provided.
Identify incomplete documentation, duplicate or inconsistent billing, coding concerns, non-covered services, and unusual billing patterns.
Maintain clear, complete, and auditable notes that support each claim decision.
Request additional information when required and escalate complex, high-value, disputed, or medically unclear cases appropriately.
Provide clear and professional explanations of claim decisions and documentation requirements to internal stakeholders.
Handle confidential information responsibly and follow Cigna procedures, privacy standards, regulatory controls, and information-security requirements. What You’ll BringA recognised healthcare qualification such as BDS, MBBS, BAMS, BHMS or equivalent medical degree, Bachelor of Nursing, or another relevant clinical or allied-health qualification.
Applications are welcomed from healthcare-qualified candidates beginning their careers, as well as candidates with one to two years of experience in medical claims, preauthorisation, medical billing, provider operations, or health insurance.
Sound knowledge of medical terminology, diagnoses, procedures, treatment pathways, and clinical documentation.
Basic understanding of ICD, CPT, health insurance benefits, exclusions, deductibles, and co-insurance, with a willingness to develop further expertise.
Strong written and verbal communication skills in English.
Strong analytical and numerical skills with excellent attention to detail.
Ability to manage priorities, meet deadlines, and handle confidential information appropriately. SkillsSoft SkillsStrong analytical thinking and sound judgement.
Excellent attention to detail and commitment to accuracy.
Clear and professional written and verbal communication skills.
Ability to prioritize workload and work effectively within deadlines.
Collaborative approach when working with different teams and stakeholders.
Willingness to learn and develop within a fast-paced health insurance environment.
Technical / Functional SkillsKnowledge of medical terminology, diagnoses, procedures, treatment pathways, and clinical documentation.
Basic understanding of ICD and CPT coding.
Understanding of health insurance benefits, exclusions, deductibles, and co-insurance.
Ability to review and interpret medical records and supporting claim documentation.
Ability to adapt to claims-processing systems and tools.
Proficiency in Microsoft Office applications. Nice to HaveOne to two years of experience in medical claims, preauthorization, medical billing, provider operations, or health insurance.
Experience w