About the Role

As an Eligibility Representative, you will play a critical role in ensuring members have timely access to the healthcare benefits and services they need. Acting as a key point of contact for clients, customers, and internal stakeholders, you will manage eligibility administration, maintain accurate member records, and provide outstanding service through phone and email interactions.

This role combines customer service, relationship management, data administration, and problem-solving in a fast-paced international environment. You will work closely with colleagues across multiple functions to deliver a seamless member experience while ensuring data accuracy and operational excellence.

At Cigna Healthcare, you'll join a diverse and collaborative team where your contributions directly impact members' healthcare journeys every day.

What Does a Typical Day Look Like?

• Administer and maintain member eligibility information accurately and efficiently across multiple systems.
• Process new enrollments, membership updates, terminations, and benefit changes in line with service-level agreements.
• Update and maintain eligibility data through automated, direct-connect, and manual processes.
• Serve as a primary point of contact for clients, customers, vendors, and internal stakeholders regarding eligibility-related inquiries.
• Investigate and resolve discrepancies, data errors, and system issues impacting member records.
• Generate, analyze, and validate reports to ensure data integrity and operational accuracy.
• Provide technical support and guidance related to eligibility administration processes.
• Collaborate with clients and internal teams to resolve complex eligibility issues while maintaining strong professional relationships.
• Ensure customer and membership data is processed accurately, confidentially, and within required timelines.
• Identify opportunities for process improvement and contribute ideas that enhance efficiency, service quality, and customer satisfaction.
• Support business initiatives, projects, and continuous improvement activities within the Eligibility team.
• Maintain compliance with data privacy, confidentiality, and regulatory requirements at all times.

What We're Looking For

• Diploma, Bachelor's degree, or equivalent professional experience.
• Excellent written and verbal communication skills in English and French.
• Strong customer service orientation with a passion for delivering exceptional customer experiences.
• High level of accuracy and attention to detail.
• Ability to manage multiple priorities while meeting deadlines in a fast-paced environment.
• Strong problem-solving and analytical skills.
• Proficiency in Microsoft Office applications, particularly Excel and Outlook.
• Ability to quickly learn new systems, technologies, and processes.

Preferred Skills & Experience

• Experience working in customer service, healthcare administration, insurance operations, eligibility management, or a related field.
• Experience working with customer databases, reporting tools, and case management systems.
• Strong technical aptitude and ability to troubleshoot data and system-related issues.
• Ability to build and maintain positive relationships with internal and external stakeholders.
• Excellent organizational and time-management skills.
• Commitment to continuous improvement and operational excellence.

You Will Thrive in This Role If You...

• Enjoy interacting with customers and delivering excellent service.
• Are passionate about helping others and finding solutions to complex issues.
• Take ownership of your work and pay close attention to detail.
• Enjoy working with data, systems, and processes.
• Communicate confidently in both English and French.
• Are proactive in identifying improvements and driving positive change.
• Handle confidential and sensitive information with professionalism and integrity.
• Enjoy collaborating with colleagues across different teams, cultures, and countries.
• Adapt quickly to changing priorities and dynamic business needs.

• Administer and maintain member eligibility information accurately and efficiently across multiple systems.
• Process new enrollments, membership updates, terminations, and benefit changes in line with service-level agreements.
• Update and maintain eligibility data through automated, direct-connect, and manual processes.
• Serve as a primary point of contact for clients, customers, vendors, and internal stakeholders regarding eligibility-related inquiries.
• Investigate and resolve discrepancies, data errors, and system issues impacting member records.
• Generate, analyze, and validate reports to ensure data integrity and operational accuracy.
• Provide technical support and guidance related to eligibility administration processes.
• Collaborate with clients and internal teams to resolve complex eligibility issues while maintaining strong professional relationships.
• Ensure customer and membership data is processed accurately, confidentially, and within required timelines.
• Identify opportunities for process improvement and contribute ideas that enhance efficiency, service quality, and customer satisfaction.
• Support business initiatives, projects, and continuous improvement activities within the Eligibility team.
• Maintain compliance with data privacy, confidentiality, and regulatory requirements at all times.

• Excellent written and verbal communication skills in English and French.
• Strong customer service orientation.
• High level of accuracy and attention to detail.
• Ability to manage multiple priorities while meeting deadlines.
• Strong problem-solving and analytical skills.
• Proficiency in Microsoft Office applications, particularly Excel and Outlook.
• Ability to quickly learn new systems, technologies, and processes.
• Experience working with customer databases, reporting tools, and case management systems.
• Strong technical aptitude.
• Ability to build and maintain positive relationships.
• Excellent organizational and time-management skills.

• Diploma, Bachelor's degree, or equivalent professional experience.
• Excellent written and verbal communication skills in English and French.
• Strong customer service orientation with a passion for delivering exceptional customer experiences.
• High level of accuracy and attention to detail.
• Ability to manage multiple priorities while meeting deadlines in a fast-paced environment.
• Strong problem-solving and analytical skills.
• Proficiency in Microsoft Office applications, particularly Excel and Outlook.
• Ability to quickly learn new systems, technologies, and processes.
• Experience working in customer service, healthcare administration, insurance operations, eligibility management, or a related field.
• Experience working with customer databases, reporting tools, and case management systems.
• Strong technical aptitude and ability to troubleshoot data and system-related issues.
• Ability to build and maintain positive relationships with internal and external stakeholders.
• Excellent organizational and time-management skills.
• Commitment to continuous improvement and operational excellence.