Quality Review and Audit Analyst

The job profile for this position is GIH Quality Review and Audit Analyst,
which is a Band ‎2 Role.
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of
our associates grow professionally before recruiting new talent to our open
positions. If you think the open position, you see is right for you, we
encourage you to apply!
Our people make all the difference in our success.
Cigna is one of the world 's leading providers of health care, expatriate
employee benefits, life, accidental and supplemental health insurance.
Headquartered in the US and listed in NYSE, the Company operates in countries
across the Americas, Europe, Africa and Asia Pacific.
Cigna Global Health Benefits (CGHB) is an integral part of Cigna's growing
international businesses. Product types include: Medical, Dental, Vision,
Life, AD&D, Disability, Travel, etc. sold to groups and individuals. We have
approximately ‎1 million medical members around the world. CGHB Europe (EU) is
a regional segment of CGHB; it has approximately 500K medical members.
YOUR RESPONSIBILITIES
* Perform process compliance audits to determine the accuracy, compliance, and consistency of…
* All operational activities against the corresponding procedures.
* Call handling, Email handling, for Audit processing.
* Participates in complex audits, third party audits, ad-hoc projects and assignments as defined by the Quality Auditor Team Senior/Team Supervisor/Senior Supervisor/Audit Team Manager.
* Performs root cause analysis on audit findings to understand why the findings occurred.
* Agrees suitable action plans to remove root causes and prevent findings from recurring.
* Monitors performance trends and agrees suitable action plans to address these trends.
* Being proactive in identifying improvements to both audit and operational processes and procedures.
* Collates and reports audit findings to Senior Management accurately and on time.
* Assists in the development of audits and audit processes and procedures.
* Acts as a subject matter expert who supports and coaches their fellow Auditors.
* You are accountable to ensure that your productivity, quality, and motivation is managed properly to achieve your targets/KPI's.
* Proactively address and/or escalate any risks.
YOUR PROFILE
* Experienced in audit workings, would be beneficial.
* Ideally experienced in a communications role preferred, but not essential.
* You have an extensive knowledge of regulated processes and procedures.
* You have a good knowledge of Excel
* High energy, results-oriented individual able to coordinate and prioritize multiple tasks to meet deadlines.
* Ability to think analytically, interpret information/observations and make effective decisions.
* Ability to ask for guidance, when required, on complex issues.
* Professional verbal and written communication skills.
* You have proficient knowledge of English, both written and spoken. Other languages are well evaluated.
* Ability to listen attentively, build rapport and ask structured open/closed questions.
* Ability to diffuse and resolve instances of conflict.
* Ability to produce clear and factual reports.
* Ability to present information and ideas in a confident, creative, and interactive manner.
* Ability to explain audit findings and trends and provide constructive feedback; work patiently and effectively with staff of different experience levels, learning styles and cultural diversity.
* Ability to provide constructive coaching to fellow Auditors to share knowledge and skills.
* Ability to work effectively on their own and as part of a team.
* Mindful of the needs of the business and the personal needs of the person being audited.
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 lives.
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: [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.