Premium Audit Analyst - Group Insurance
- Recruiter
- Cigna
- Location
- Bethlehem, Pennsylvania, United States
- Salary
- Competitive salary
- Posted
- 28 Sep 2020
- Closes
- 29 Sep 2020
- Ref
- Cig20016420
- Job role
- Audit
Enrollment/Billing Analyst
Role Summary
Complete assigned portions of moderately complex to complex audits to ensure accuracy and consistency with administrative procedures and guidelines. Supports New Business validation, Sales Compensation, Life Cycle Changes, Premium Variance, Easy Bill, Referral audits and Rate Renewal Validation processes based on demands of current inventory. Establishes client specific billing tools for use by clients using Excel and trains clients in the use of the billing tool. Works with internal and external customers to introduce the billing tool and assess the applicability for use by specific clients. Provides ongoing support and assistance to clients using the billing tool and keeps all policy and rate information for the client base updated. Drives error correction and open over/under balance resolutions. May act as subject matter expert and resource for team members. May develop and/or recommend training programs to address error trends.
Responsibilities
Qualifications
About Cigna
Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.
When you work with Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.
Qualified 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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
Role Summary
Complete assigned portions of moderately complex to complex audits to ensure accuracy and consistency with administrative procedures and guidelines. Supports New Business validation, Sales Compensation, Life Cycle Changes, Premium Variance, Easy Bill, Referral audits and Rate Renewal Validation processes based on demands of current inventory. Establishes client specific billing tools for use by clients using Excel and trains clients in the use of the billing tool. Works with internal and external customers to introduce the billing tool and assess the applicability for use by specific clients. Provides ongoing support and assistance to clients using the billing tool and keeps all policy and rate information for the client base updated. Drives error correction and open over/under balance resolutions. May act as subject matter expert and resource for team members. May develop and/or recommend training programs to address error trends.
Responsibilities
- Completes assigned portions of New Business, Renewal, Life Cycle Changes, Premium Variance and Referral audits and special projects related to one or more business segments.
- Develops client specific billing tools (excel based) utilized by self-administered clients of moderate to high complexity.
- Provides in-depth training to clients in use of tool, and instructions on premium calculations as compared specific plan designs purchased by the client.
- Develops client specific billing tools (excel based) utilized by self-administered clients of moderate to high complexity.
- Provides ongoing servicing of existing client's billing tool.
- Processes Sales Compensations timely and accurately to ensure payroll schedule processing targets are met.
- Performs specific audit procedures on moderately complex to complex audits to identify procedural exceptions and probable reasons for their occurrence.
- May propose solutions to correct any procedural exceptions identified.
- Follows established audit schedules and procedures on assignments.
- Audits and reviews the accuracy of cancellation activity and ensures compliance with Sarbanes Oxley controls.
- Complies with departmental policies regarding ethical and proper use of company equipment, including internet access, email and phone usage, in compliance with Cigna Information Protection Policy (CIP)
- Documents audit tests performed, audit observations, and conclusions in accordance with documentation standards.
- Uses electronic audit tools and effectively applies technology in the audit process.
- Assists in the preparation of reports on audit results.
- Partners with internal and external business partners on premium calculation education/training to ensure accuracy of payment calculations.
- Develops and/or recommends training programs to address error trends and assist with completion of process improvement projects.
- Provides in-depth training to clients in use of tool, and instructions on premium calculations as compared specific plan designs purchased by the client.
- Provides ongoing servicing of existing client's billing tool.
Qualifications
- Bachelor's degree in Accounting, Finance or other related field.
- Strong understanding of accounting principles, control procedures and audit standards, practices, and techniques.
- 2 + years of audit or consulting experience a plus.
- Ability to multi-task and work with a sense of urgency in a fast paced environment.
- Ability to work successfully independently and as part of a team.
- Demonstrates a strong focus on Service Excellence when partnering with internal and external business partners.
- Strong computer skills including, but not limited to, MS Excel spreadsheet manipulation and MS Access data input.
- Requires seasoned knowledge of accounts receivable procedures and systems expertise for reviewing premium remittance payments.
- Demonstrates excellent communication and interpersonal skills.
- Solid coaching and mentoring skills.
- Thorough understanding of group products and associated plan designs.
About Cigna
Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.
When you work with Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.
Qualified 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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.