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eligibility Analyst
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Job Description

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.

Responsibilities

  • 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

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

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

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.

If you require reasonable accommodation in completing the online application process, please email:

Posted By The Cigna Group
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