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Senior Benefit Advocate

đź•’ Yesterday

🇺🇸 United States – Remote

đź’µ $68.7k - $114.5k / year

⏰ Full Time

đźź  Senior

đź‘» Ghost score 0%

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Logo of The Cigna Group

The Cigna Group

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

đź“‹ Description

• Review sold plan documents, PIFs, and supporting materials to confirm client intent, product standards, and applicable requirements before implementation • Use Crystal daily to review, enter, and update benefit information for new business, renewals, upsells, maintenance requests, and off-cycle changes • Apply Diamond knowledge to understand MEDDEF-level benefit configuration and identify downstream impacts and discrepancies • Participate in installation and expert-team meetings, explain benefit findings, and provide recommendations to commercial and operational partners • Validate PIF information against sold benefits and support accurate downstream setup, contract documentation, certificates, and claim payment • Research complex benefit questions, resolve quality issues, and coordinate corrections with client-facing and benefits teams • Advise Sales and Client Management on nonstandard benefit options and appropriate Crystal entry • Complete quality reviews within daily deadlines while managing multiple priorities and sensitive implementation timelines • Support user acceptance testing, process improvements, and enhancements to Crystal, Diamond-related workflows, documentation, and team procedures • Work independently through situations without fully documented processes, using sound judgment and escalating questions when appropriate

🎯 Requirements

• High school diploma or equivalent • 5 or more years of healthcare, benefits, benefit configuration, claims, implementation, or related experience • Experience working within Cigna Global Health Benefits or a closely related internal benefits operation • Strong working knowledge of Diamond, including interpreting benefit configuration and understanding downstream impacts at the MEDDEF level • Knowledge of medical, dental, vision, IEAP, life, accidental death and dismemberment, supplemental, dependent, and other ancillary benefits • Analytical, critical-thinking, and quality-review skills with strong attention to detail • Ability to manage ambiguity, make informed decisions, and work independently with moderate supervision • Strong written and verbal communication skills • Ability to organize competing priorities, meet daily deadlines, and work effectively in a fast-paced environment • Basic Microsoft Excel skills and proficiency in a Windows-based environment • Salesforce and Crystal experience preferred; training may be provided to candidates with relevant Salesforce exposure and strong benefits knowledge • Experience reading client plan documents, PIFs, certificates, or other benefit implementation materials preferred • Experience supporting new business installations, renewals, or plan maintenance for quality assurance preferred • Some college coursework preferred • Home internet connection through cable broadband or fiber optic service with at least 10Mbps download/5Mbps upload when working at home

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits starting on day one • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Remote work arrangement • Cable broadband or fiber optic internet requirement with at least 10Mbps download/5Mbps upload for home working

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