The Contract Associate Analyst will play a critical role in ensuring successful and compliant CHI uploads. Key responsibilities include:
- Verifying member mandatory information prior to uploading onto CHI, ensuring accuracy of National ID, Iqama, Border Number, Passport Number, and Member IDs as compared to supporting documents.
- Performing pre-upload validation on changes such as additions, deletions, transfers, and corrections to prevent CHI rejections.
- Investigating discrepancies between client census files, system records, and CHI requirements.
- Analyzing rejection reasons, coordinating necessary corrections, and resubmitting records within agreed SLA timelines.
- Confirming policy effective dates, enrollment dates, and renewal dates align with underwriting approval and policy setup.
- Processing updates such as DOB corrections, ID changes, relationship changes, and member transfers between groups.
- Tracking uploaded members until they are successfully linked in the CHI portal and escalating unresolved cases promptly.
- Ensuring compliance with regulatory requirements and internal standards for all uploads.
- Producing validation error reports, rejection analysis, SLA performance reports, and offering recommendations for reducing upload failures and improving quality.
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Qualifications:
- Bachelor’s degree in healthcare administration, business, or a related field (or equivalent work experience).
- 1 - 2 years of experience in benefit setup or insurance policy administration within a health insurance company.
- Experience with benefit configuration tools and administrative platforms.
- Familiarity with medical coverages, CHI uploads, and the eligibility process.
- Knowledge of insurance regulatory requirements (CHI, IA, Nphies).
Skills:
- Excellent attention to detail and analytical skills.
- Proficient in MS Office (Excel, Word) and data entry systems.
Language Requirements: No specific language requirements mentioned.
About The Company:
The company is dedicated to improving the health and vitality of individuals and communities. Through its divisions Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing the lives of clients, customers, and patients.
Equal Opportunity Statement:
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth or related medical conditions, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, or any other characteristic protected by applicable laws.
Application Support:
If you require reasonable accommodation in completing the online application process, please email: [email protected] for support.
