Account Installation Representative Cigna

Responsibilities and duties

• Interacts with different internal departments and partners in the coordination and implementation of our new and renewing accounts to effectively setup benefit plan, group and member information.
• Establishes and complies with a client specific service plan.
• Ensures that the documentation received is complete and logical as per system requirements.
• Reviews the Table of Benefits for acceptability / consistency from system requirements.
• Reviews the member census received for new policies as per regulatory compliance and system requirements.
• Reconciles census against system active list for renewal policies.
• Request for additional information based on system and compliance requirements.
• Set up benefits in the system and all its other linkages.
• Set up system with group and member details.
• Responsible for releasing member welcome pack for newly installed policy and renewed policies.
• Ensure that the group policy setup has successfully been created from partner s system.
• Reconcile accuracy between internal and partner s system before releasing member cards.
• Reviews mid-year policy changes and updates system as required.
• Ensure that the output required for the mid-year policy change has been coordinated within teams and released as required.
• Acts as an intermediary between internal departments and business partners in resolving daily service issues related to newly incepted/renewed group.
• Acts as Subject Matter Expert for any system related query for policies.
• Researches and resolves issues in day-to-day operations.
• Performs daily, weekly, monthly reconciliation between systems.
• Performs routine maintenance, report preparation and issue resolution with efficient book of business management through timely and proper utilization of internal tools.
• Performs other duties as assigned and maintains high quality of work.
• Provides the highest levels of services in Policy Administration.
• Monitors and manage team queue, workflow and quality of work.
• Build relationships with internal departments and partners to ensure smooth processing of client requests.
• Identifies potential process improvements and make recommendations to the organization.
• Actively support team members and provides resource to enable all team goals to be achieved.
• Responsibility and accountability for service levels, turnaround times and quality.

QUALIFICATIONS

• Bachelor s degree
• 1 to 2 years of experience with data entry, preferably in Medical Insurance
• Analytical skills must be able to review data and identify any potential issues or discrepancies
• High attention to details.
• Must be able to conduct computer data entry.
• Must be able to make recommendations which are supported by various data pulls
• Intermediate proficiency in Microsoft Office Suite specifically in Excel.
• Excellent written and oral communication skills.
• Proven ability to work independently as well as a productive member of a team.
• Exceptional organization and time-management focus.