Eligibility Representative Cigna

About the Role

We are looking to extend our KSA operation team.

This role supports and delivers straightforward administrative and/or other basic business services in Eligibility.

What You ll Do

• Implements and maintains eligibility for benefits.

• Implements, updates, and maintains automated, direct connect and/or manual eligibility data.

• Interacts with internal partners and/or external clients/vendors. Generates reports to identify and resolve discrepancies.

• Identifies process improvement opportunities for own cases.

• May negotiate and resolve eligibility with clients.

• May provide technical support for the electronic processing of eligibility.

• Ensures customer data is installed accurately and timely.

• May work with client's format and internal Systems to resolve errors.

• May interact with Systems to resolve technical issues. General knowledge of manual and automated eligibility.

• Familiar with reporting tools. Technical understanding of systems. Issues tend to be routine in nature. Good knowledge and understanding of Eligibility and business/operating processes and procedures. Works to clearly defined procedures under close supervision

Qualifications:

• Bachelor s or Diploma degree in insurance field or similar

• Minimum of 1 year experience ( Fresh grad with intership are considered as well )

• Familiar with reporting tools

• Oral communication skills in both Arabic and English

• Proven ability to work independently as well as a productive member of a team.

• Exceptional organization and time-management focus.

• Technical understanding of systems. Issues tend to be routine in nature.

• Good knowledge and understanding of Eligibility and business/operating processes and procedures.

• Works to clearly defined procedures under close supervision