Eligibility Representative

Reposted 18 Hours Ago
Be an Early Applicant
Bengaluru, Bengaluru Urban, Karnataka, IND
In-Office
Junior
Healthtech • Insurance
The Role
The Eligibility Representative processes client enrollment requests, ensures accurate data entry, resolves eligibility discrepancies, and assists with electronic enrollment tools and testing.
Summary Generated by Built In

Role Summary

The Enrollment Representative is responsible for the technology support of installing and updating existing electronic eligibility and online enrollment (OLE) accounts. In addition to processing manual eligibility data requests and working on several types of fall out reports to make updates. This is a critical role in providing high quality and accurate results as the data entry ensures benefit coverages to Cigna customers.

Responsibilities

  • Process inbound client requests to enroll new membership, make edits to existing or process terminations to existing membership
  • Process transactions on fallout reports using specific work instructions for each of the various reports
  • Perform research to identify and resolve inconsistencies in eligibility data through individual analysis
  • Assist in the client set up for electronic eligibility and online enrollment tools, following specific work instructions and guidelines provided by internal resources
  • Assist with testing as needed; input enrollment in to test environment and process enrollment examples and provide input during testing on the outcome
  • Additional responsibilities as assigned

Expectations

  • Assess the inbound request/files and complete the data entry into Diamond following work instructions with accuracy and speed
  • Conduct Iteam loads, MTRs, and BOTS to assist with OLE and Electronic eligibility needs
  • Process MBA enrollments at point of VOB/GOP submission
  • Assist with Middle East enrollment as identified
  • Load and test enrollments per examples provided in test/UAT environment
  • Communicate with all necessary internal and external business partners in a professional manner in a variety of communication styles (i.e. e-mail, telephone, Webex meetings, etc.)

Qualifications

  • Bachelor’s Degree
  • 2+ years’ experience in Cigna Global Health Benefits, (CGHB) preferred, not required
  • Strong Written and verbal communications skills
  • Attention to detail
  • Demonstrated ability to consistently meet and exceed performance metrics such as productivity and quality
  • Adept computer skills, with experience navigating multiple systems to complete a single task
  • Intermediate to advanced skills using Microsoft Office products, specifically Excel and Outlook
  • Strong Analytical Skills
  • Ability to Learn Quickly
  • Ability to Work Independently and in a Team Environment

About The Cigna Group

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.

Skills Required

  • Bachelor's Degree
  • 2+ years' experience in Cigna Global Health Benefits (CGHB) preferred
  • Strong written and verbal communication skills
  • Attention to detail
  • Demonstrated ability to meet and exceed performance metrics
  • Adept computer skills
  • Intermediate to advanced skills using Microsoft Office products
  • Strong analytical skills
  • Ability to learn quickly
  • Ability to work independently and in a team environment

Cigna Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Cigna and has not been reviewed or approved by Cigna.

  • Strong & Reliable Incentives Strong bonus outcomes are frequently highlighted, with annual bonuses described as really good alongside above-average salary levels. Stock or long-term incentive elements are also noted as part of the overall package in some roles.
  • Leave & Time Off Breadth Time-off benefits are portrayed as a meaningful part of total rewards, including generous PTO and flexibility that can enhance the perceived value of compensation. Flexible work-from-home arrangements are repeatedly linked with satisfaction about the overall package.
  • Healthcare Strength Health coverage is described as broad in design, with preventive care often covered at no charge in-network and options like virtual care and wellness incentives. A large provider network and strong digital tools are positioned as practical advantages when using benefits.

Cigna Insights

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The Company
HQ: Bloomfield, CT
74,000 Employees
Year Founded: 1982

What We Do

At Cigna, we're more than a health insurance company. We are your partner in total health and wellness. And we’re here for you 24/7 – caring for your body and mind. As a global health service company, Cigna's mission is to improve the health, well-being, and peace of mind of those we serve by making health care simple, affordable, and predictable. Our values are the core of our culture. Our values guide how all 74,000 of us around the world work together, serve our customers, patients, clients, communities, and deliver on our mission.

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