Quality Review and Audit Analyst
at The Cigna Group
Dubai, دبي, United Arab Emirates -
Start Date | Expiry Date | Salary | Posted On | Experience | Skills | Telecommute | Sponsor Visa |
---|---|---|---|---|---|---|---|
Immediate | 22 Jan, 2025 | Not Specified | 23 Oct, 2024 | 2 year(s) or above | Medical Background,Conflict,Constructive Feedback,Cultural Diversity,Communication Skills,Arabic | No | No |
Required Visa Status:
Citizen | GC |
US Citizen | Student Visa |
H1B | CPT |
OPT | H4 Spouse of H1B |
GC Green Card |
Employment Type:
Full Time | Part Time |
Permanent | Independent - 1099 |
Contract – W2 | C2H Independent |
C2H W2 | Contract – 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