Eligibility Associate Representative
The Cigna Group

This is a broad and general role that will get involved in a range of policy management activities, with the view to specialize as the role evolves. The Policy Management Validation Executive role will support the Middle East region, giving great exposure to a range of products and business units. You are expected to help deliver the compliance monitoring program ensuring the business is meeting regulatory requirements and all policies, procedures and systems are in line with company compliance plan.
Responsibilities
Perform below duties; to ensure that all policies and procedures are implemented and well documented.
Plan and coordinate the operational activities to guarantee compliance with local Laws and Regulations.
Provide extensive support and guidance to Regional and International teams on Middle East compliance queries and requirements.
Undertake compliance data gathering and validation activities on regular basis based on agreement level.
Tracking and maintaining data on regular basis to support performance review and reporting.
Maintain issue log to identify gaps and opportunities for process improvements.
Conduct periodic internal audit, identify problem areas and help formulate strategy to maintain compliance status.
Stays updated with the regulatory requirement with the changes and impart inter-department training when needed.
Closely partner with regional sales and client management teams to provide advice, support and guidance on all regulatory and compliance matters.
Registration of benefit plans on government portals
Support with preparation and management of client and broker contracts
Support the teams to identify all compliance risks, help gather missing information and avoid non-compliance cases.
Monitor and report adherence of compliance practice across business.
Establish and maintain relationships with key stakeholders
Experience & Competencies
Minimum Bachelor's degree
High proficiency in MS office, excel in particular
Understanding of regulatory requirements and its practical application
Great rapport building and communication skills
Strong problem solving, leadership skills, analytical and decision-making skills
Minimum of 3 years’ experience of the Middle East insurance market and its associated risks
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 livesQualified 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: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.
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