Account Installation Representative

Join Cigna Healthcare, a Global Leader in Transforming Healthcare

Cigna Healthcare, a Fortune 500 company ranked 13th in 2025, is dedicated to improving the health, well-being, and peace of mind of our customers worldwide. With operations in over 30 countries and serving more than 180 million customers, we are committed to delivering best-in-class health solutions aligned with Vision 2030 in Saudi Arabia.

At Cigna, we foster a collaborative, supportive culture where trust and clear communication shape our work. We seek individuals who thrive in collaborative environments and want to grow in a company that puts people first. Your work will contribute to better care experiences and support customers through important moments in their lives.

About the Role: Account Installation Representative

• Responsible for accurately configuring and maintaining medical benefit plans within internal and TPA systems.
• Ensures members, providers, and clients have correct and up-to-date information on eligibility, coverage rules, authorization requirements, and claim adjudication parameters.

Key Responsibilities:

• Analyze product documents and policy schedules to build and configure benefit plans for both internal use and TPA.
• Set up eligibility, copays, deductibles, out-of-pocket maximums, covered services, and provider networks, Annual/lifetime caps and service-level exclusions/inclusion.
• Maintain and validate API/data feed integration between internal system and TPA systems.
• Review and validate group setup and benefit plan changes, updates, and renewals. Coordinate with underwriting, sales, and client services teams to gather accurate plan information. Validate benefit configurations before policy activation to avoid claim errors.
• Work closely with underwriting, sales, Business support, and policy validation teams to ensure accurate reflection of client and product specifications.
• Participate in UAT (User Acceptance Testing) for plan benefit setups or system enhancements.
• Coordinate with TPAs to align benefit configuration between internal system and the TPA platforms.
• Conduct benefit mapping and data exchange configuration manuals and documents with TPAs
• Maintain configuration documentation, setup logs, and audit trails as per regulator and internal compliance protocols.
• Partner with broader Operations teams to ensure activities related to Operational Readiness are ready to service by client’s effective date.
• Resolve benefit-related discrepancies flagged by claims or customer service between internal system and the TPA platforms.

Qualifications:

• Bachelor’s degree in healthcare administration, Business, or 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 and exclusions, policy wording, and product structure.
• Knowledge of insurance regulatory requirements (CHI, IA, Nphies.)

Skills:

• Knowledge of regulatory standards benefits and products
• Excellent attention to detail and analytical skills
• Proficient in MS Office (Excel, Word) and data entry systems
• Strong understanding of benefit structures in SME and corporate policies.
• Experience working with TPA platforms and insurance core systems

Why Join Us

Competitive salary and benefits package, opportunities for professional growth, and a collaborative, supportive work environment.