eligibility Analyst

at  The Cigna Group

This role will support the operation team and contribute to the Contracts job family in a support capacity.
The Eligibility analyst will completes output (documents, analyses, product) in specific work area to appropriate time and quality targets, and provides support for implementing new accounts.

EXPERIENCE & COMPETENCIES

• MS excel (intermediate skills)
• Power point (basic)
• Good communication skills and fluent in English
• Minimum 2 years experience on membership/policy validation experience or Eligibility within Insurance industry.
• Bachelor degree

• Delivers straightforward administrative and/or other basic business services in Contracts.
• Good knowledge and understanding of Contracts and business/operating processes and procedures.
• Reviews and analyzes implementation materials to create documents for new and existing business.
• Analyzes benefits to ensure they are in compliance with legislation.
• Loads benefits into system. Researches, coordinates information, and responds to questions from internal partners and/or external clients.
• Be the first point of contact from customer to resolve issues. Identifies process improvements for own cases.
• Negotiates deliverables with internal partners.
• May audit accounts to determine compliance with specific mandates. Works to clearly defined procedures under close supervision