Senior Benefit Advocate

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $68.7k - $114.5k / year

⏰ Full Time

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 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 configuration, anticipate downstream impacts, and identify discrepancies before claims or member materials are affected • Participate in installation and expert-team meetings, explain benefit findings, and provide recommendations to commercial and operational partners • Validate PIF information against sold benefits to 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 a fully documented process, 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 • Solid 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, including confidence working with Sales and commercial partners • Ability to organize competing priorities, meet daily deadlines, and perform effectively in a fast-paced environment • Basic Microsoft Excel skills and proficiency in a Windows-based environment • Experience with Salesforce and Crystal preferred; training can 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

🏖️ Benefits

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