Eligibility Representative

Job Description Summary

Create client documents (policies, certificates, and/or riders) for assigned book of business using tools or templates. Review materials, process new, renewal and maintenance requests to client specific documents and distribute with accuracy and timeliness.

Responsibilities

• Reviews and analyzes implementation materials to create various documents for new and existing business
• Reviews and analyzes benefits to ensure materials are following legislation and benefit plan design requirements
• Create policies, certificates, riders using systems and templates
• Comparing documents from prior to current years to be able to highlight differences
• Researches, coordinates and responds to questions from internal partners
• Distributes policy documents to Account Manager and other internal partners as needed

Competencies

• Action Oriented
• Customer Focus
• Drive for Results
• Learning on the Fly
• Organizing
• Priority Setting
• Problem Solving
• Time Management

Knowledge/Skills Required

Ability to use Microsoft tools; Knowledge/experience with PDF and Word needed (comparing materials)

Strong analytical and problem-solving skills

Detail oriented

Strong writing ability, communication and interpersonal skills.

Good organizational skills with ability to prioritize

Ability to work in a matrix environment

Basic understanding of matrix partner functions and how they interact

High school degree or equivalent required, some college preferred

Prior contracts experience preferred

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.