Eligibility Associate Analyst - Cigna Healthcare

Role Overview

Eligibility Associate Analyst at Cigna Healthcare. This is an entry-level professional role focused on compliance collection and client eligibility management, primarily supporting Middle East operations.

Company Overview

Cigna Healthcare, a division of The Cigna Group, advocates for better health through every stage of life. The organization guides customers through the health care system, empowering them with information and insight to make informed choices for improving health and vitality.

Role Purpose

Deliver technical, administrative, and operational compliance collection tasks to implement and maintain client compliance for exposure in the Middle East. Ensure sales force (SFDC) systems and member enrollment records remain accurate and compliant throughout the year.

Key Responsibilities

Compliance Management

• Implement and maintain client compliance for Middle East exposure.
• Develop detailed understanding of regulations across the entire Middle East and international business.
• Ensure compliance with local laws and regulations.
• Validate client and member-level compliance for new business, renewal, and new exposure.

Monitoring and Reporting

• Monitor fall out reports, ID Card trackers, and other resources to track member enrollment status.
• Generate statistical reports and analyze results.
• Analyze data and reconcile records for accuracy.

Operations and Coordination

• Manage internal processes and plan operational activities.
• Coordinate operational activities to guarantee compliance with local laws and regulations.
• Enroll members into compliant plans where applicable.
• Update and maintain sales force (SFDC) systems.

Stakeholder Management

• Interact with internal partners and external clients and vendors.
• Work closely with internal partners to validate compliance requirements.
• Collaborate with benefits, compliance, and international sales and client management teams.

Problem Resolution

• Research and resolve problems.
• Escalate difficult issues to appropriate stakeholders.

Qualifications & Experience

• Previous experience in medical insurance, compliance, or operations.
• Working knowledge of Middle East compliance for accessing health insurance benefits in the region.

Skills & Competencies

• Strong data entry skills.
• Strong customer service skills.
• General product knowledge.
• High proficiency in MS Office.
• Problem-solving aptitude.
• Demonstrated good interpersonal skills.
• Team building skills.
• Leadership skills.
• Ability to understand simple instructions and procedures.

Additional Information

• Work is allocated on a day-to-day or task-by-task basis with clear instructions.
• Duties are performed under direct instruction and close supervision.
• 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.
• Reasonable accommodations are available for applicants completing the online application process.