Quality Review and Audit Analyst

The Cigna Group

Oct 18

Applications are closed

Job
Full-time
Mid Level
Healthcare
Dubai

Requirements

2 years’ experience in Middle East Insurance Market
2 years’ experience in medical claims and/or an auditing role *for claims audit role
Excellent English skills, verbal and written – Arabic may be required for specific roles
Medical background preferred
High energy, results-oriented individual able to coordinate and prioritize multiple tasks in order 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.
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 in order 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.
We are currently accepting applications from UAE Nationals only.

Responsibilities

Participates in complex audits, third party audits, ad-hoc projects and assignments as defined by the Quality 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.
Identifies 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 their fellow Auditors.

FAQs

What qualifications are required for the Quality Review and Audit Analyst position?

Candidates should have at least 2 years of experience in the Middle East Insurance Market and 2 years in medical claims and/or an auditing role, with a preference for a medical background.

Is there a requirement for bilingual skills in this role?

Excellent English skills, both verbal and written, are required. Arabic may be required for specific roles.

What kind of work experience is beneficial for this position?

Experience in the Middle East Insurance Market, medical claims processing, and auditing roles are beneficial for this position.

Who is eligible to apply for this job?

Currently, only UAE Nationals are eligible to apply for this position.

What are the main responsibilities of this role?

The main responsibilities include performing compliance audits, root cause analysis, monitoring performance trends, reporting findings to senior management, and providing coaching to fellow auditors.

Is prior experience in auditing mandatory?

Yes, for claims audit roles, a minimum of 2 years of experience in an auditing role is required.

Will I need to work independently, or will it be mostly team-based?

The role requires the ability to work effectively both independently and as part of a team.

What characteristics does the ideal candidate possess?

The ideal candidate is a high-energy, results-oriented individual with excellent analytical skills, professional communication abilities, and the capacity to handle multiple tasks while maintaining attention to detail.

How does Cigna Healthcare support employee development?

Cigna Healthcare promotes the sharing of knowledge and skills through coaching and support to fellow auditors, fostering ongoing professional development.

What should I do if I require reasonable accommodation during the application process?

If you require reasonable accommodation, please email SeeYourselfEMEA@cigna.com for support.

The Cigna Group

Science & Healthcare

Industry

10,001+

Employees

Mission & Purpose

The Cigna Group is a global health company committed to creating a better future built on the vitality of every individual and every community. We relentlessly challenge ourselves to partner and innovate solutions for better health. The Cigna Group includes products and services marketed under Cigna Healthcare, Evernorth Health Services or its subsidiaries. The Cigna Group maintains sales capabilities in more than 30 countries and jurisdictions, and has more than 190 million customer relationships around the world.