Quality Review and Audit Analyst

at  The Cigna Group

Dubai, دبي, United Arab Emirates -

Start DateExpiry DateSalaryPosted OnExperienceSkillsTelecommuteSponsor Visa
Immediate22 Jan, 2025Not Specified23 Oct, 20242 year(s) or aboveMedical Background,Conflict,Constructive Feedback,Cultural Diversity,Communication Skills,ArabicNoNo
Add to Wishlist Apply All Jobs
Required Visa Status:
CitizenGC
US CitizenStudent Visa
H1BCPT
OPTH4 Spouse of H1B
GC Green Card
Employment Type:
Full TimePart Time
PermanentIndependent - 1099
Contract – W2C2H Independent
C2H W2Contract – Corp 2 Corp
Contract to Hire – Corp 2 Corp

Description:

Performs process compliance audits to determine the accuracy, compliance and consistency of all operational activities against the corresponding procedures. Operational activities include onboarding a client, setting up new and retained business on the system, claims processing, customer service (calls and emails) and the management of endorsement activities within the policies.

EXPERIENCE & COMPETENCIES

  • 2 years’ experience in Middle East Insurance Market
  • 2 years’ experience in medical claims and/or an auditing role *for claims audit role
  • Excellent English skills, verbal and written – Arabic may be required for specific roles
  • Medical background preferred
  • High energy, results-oriented individual able to coordinate and prioritize multiple tasks in order to meet deadlines.
  • Ability to think analytically, interpret information / observations and make effective decisions.
  • Ability to ask for guidance, when required, on complex issues.
  • Professional verbal and written communication skills.
  • Ability to listen attentively, build rapport and ask structured open / closed questions.
  • Ability to diffuse and resolve instances of conflict.
  • Ability to produce clear and factual reports.
  • Ability to present information and ideas in a confident, creative and interactive manner.
  • Ability to explain audit findings and trends and provide constructive feedback; work patiently and effectively with staff of different experience levels, learning styles and cultural diversity.
  • Ability to provide constructive coaching to fellow Auditors in order to share knowledge and skills.
  • Ability to work effectively on their own and as part of a team.
  • Mindful of the needs of the business and the personal needs of the person being audited.
    We are currently accepting applications from UAE Nationals only.

Responsibilities:

  • Participates in complex audits, third party audits, ad-hoc projects and assignments as defined by the Quality Audit Team Manager.
  • Performs root cause analysis on audit findings to understand why the findings occurred.
  • Agrees suitable action plans to remove root causes and prevent findings from recurring.
  • Monitors performance trends and agrees suitable action plans to address these trends.
  • Identifies improvements to both audit and operational processes and procedures.
  • Collates and reports audit findings to Senior Management accurately and on time.
  • Assists in the development of audits and audit processes and procedures.
  • Acts as a subject matter expert who supports their fellow Auditors.


REQUIREMENT SUMMARY

Min:2.0Max:7.0 year(s)

Accounting

Accounts / Finance / Tax / CS / Audit

Accounts Management

Graduate

Proficient

1

Dubai, United Arab Emirates