Account Installation Representative📣 Job Ad

About the Role

The Cigna Group, a global health service company, is seeking an Account Installation Representative to join its team in Riyadh. This full-time position is ideal for individuals with 0-1 years of experience looking to contribute to transforming healthcare. Cigna Healthcare operates in over 30 countries, serving more than 180 million customers and patients worldwide, with Cigna Saudi Arabia committed to delivering health solutions aligned with Vision 2030. You will be part of a globally recognized organization that values trust, clear communication, and a positive culture, seeking individuals who thrive in collaborative environments and are dedicated to meaningful change.

Role Overview

The Account Installation Representative is responsible for the accurate configuration and ongoing maintenance of medical benefit plans within internal and Third-Party Administrator (TPA) systems. This role is critical in ensuring that members, providers, and clients receive correct and up-to-date information regarding eligibility, coverage rules, authorization requirements, and claim adjudication parameters.

Key Responsibilities

• Analyze product documents and policy schedules to build and configure benefit plans for internal and TPA systems.
• Set up eligibility, copays, deductibles, out-of-pocket maximums, covered services, provider networks, annual/lifetime caps, and service-level exclusions/inclusions.
• Maintain and validate API/data feed integrations between internal systems and TPA systems, including policy enrollment and benefit tables.
• Review and validate group setup and benefit plan changes, updates, and renewals, coordinating with underwriting, sales, and client services teams.
• Validate benefit configurations before policy activation to prevent claim errors.
• Collaborate with underwriting, sales, Business Support, and policy validation teams to ensure accurate reflection of client and product specifications.
• Participate in User Acceptance Testing (UAT) for plan benefit setups and system enhancements.
• Coordinate with TPAs to align benefit configurations between internal and TPA platforms, including conducting benefit mapping and data exchange configuration.
• Maintain configuration documentation, setup logs, and audit trails in compliance with regulatory and internal protocols.
• Partner with broader Operations teams to ensure readiness for servicing by the client's effective date, covering business support, eligibility, compliance, and claims.
• Resolve benefit-related discrepancies flagged by claims or customer service between internal systems and TPA platforms.

Qualifications and Requirements

• Bachelor’s degree in healthcare administration, Business, or a 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, including CHI, IA, and Nphies.

Required Skills

• Knowledge of regulatory standards for benefits and products.
• Excellent attention to detail and analytical skills.
• Proficiency 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.

Work Environment and Benefits

This is a full-time position based in Riyadh. The Cigna Group offers a competitive salary aligned with the market, a multicultural and hybrid working environment, private medical insurance, employee wellbeing benefits, and an educational development program supporting continuous learning and growth.