8 часов назад
Contract Associate Analyst
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Contract Associate Analyst (Health Insurance/CHI): Validating member and policy data for compliant CHI uploads with an accent on identity verification, eligibility processing, and insurance regulatory requirements. Focus on investigating data mismatches, resolving rejections, tracking member linking, and producing SLA and validation quality reports.
Location: Riyadh, Saudi Arabia
Company
provides health and health services through Cigna Healthcare and Evernorth Health Services.
What you will do
- Verify policy and member information before uploading records to the CHI portal.
- Check National IDs, Iqama, Border Numbers, passport numbers, Member IDs, and policy dates against supporting documents and approved policy setup.
- Validate additions, deletions, transfers, and corrections to prevent CHI rejections.
- Investigate mismatches across client census files, system records, and CHI requirements; coordinate corrections and resubmit records within SLA timelines.
- Track uploaded members until acceptance and successful linking, escalating unresolved cases promptly.
- Prepare validation error, rejection analysis, SLA performance, and quality improvement reports, while monitoring the validation mailbox.
Requirements
- Bachelor’s degree in healthcare administration, business, or a related field, or equivalent work experience.
- 1–2 years of experience in benefit setup or health insurance policy administration.
- Experience with benefit configuration tools and administrative platforms.
- Familiarity with medical coverage, eligibility processes, and CHI uploads.
- Knowledge of insurance regulatory requirements, including CHI, IA, and Nphies.
- Strong attention to detail, analytical ability, and proficiency with Excel, Word, and data-entry systems.
Culture & Benefits
- Work supports health and vitality outcomes for clients, customers, and patients.
- Role is based in Riyadh, Saudi Arabia.
- Full-time employment.
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