Eligibility Representative
6 months ago
Reporting to the Eligibility Team Manager, a division of Cigna International, a leading provider of group healthcare programmes for employees of large multinational organisations and their families. With our continuing global expansion Cigna has an excellent opportunity for an enthusiastic, highly motivated and driven individual to join our Eligibility Team.
You will be responsible for maintaining Cigna’s membership database relating specifically to Cigna's member and Client queries. You will process requests from internal and external customers and partners reviewing the request and taking the appropriate action, in a timely and accurate manner.
Internal and external clients and partners depend on our accuracy and efficiency when processing client data, so you will be accountable for providing these high levels of service in accordance with the company standards and customer expectations.
**Main **Duties/Responsibilities**:
- Maintain the membership database, by accurately recording and updating information received
- Ensure all membership updates adhere to policy terms and conditions, as well as legal, compliance and underwriting requirements
- Monitor productivity to ensure you are always achieving own and team productivity and accuracy goals
- Strive for first contact resolution through taking ownership of the contact from start to finish
- Liaise and coordinate with internal customers to ensure a one team approach
- Pro-actively identify departmental improvements and recommend solutions
- Carry out other ad-hoc tasks as required, to meet business needs
**Experience Required**:
- Database Entry and/or Database Management experience essential
- Experience within a Customer Service environment
- Proficient in Microsoft Word, Excel and Outlook - advanced Excel would be advantageous
- Educated to standard grade English and Mathematics
- Experience from an insurance background preferred
**Skills/Competencies**:
Strong interpersonal skills with excellent written/verbal communication skills
- Must possess excellent attention to detail, with a high level of accuracy
- Must be able to review information and exercise judgement
- Ability to organise, prioritise and manage workflow to meet individual and team production standards
- Ability to work under own initiative
- Customer focussed with developed problem-solving abilities and a proactive approach to proposing/implementing process improvements
- Good analytical skills
- Regulatory awareness
- Ability to work within a large team
- Adaptable to change with a flexible approach to supporting team tasks
**About Cigna Healthcare**
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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._
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