Manager, Operations Solutions and Policy Services

Job Responsibilities

Health insurance policy administration, focusing on new business & renewal policy proposal requirements assessment, systems & processes change requirements, policy setup and implementation in policy administration and claims systems

Health product development and implementation, contributing to product design & development with inputs identified & consolidated for operations & servicing, testing and implementation in the policy administration and claims systems

Work closely with internal IT teams, external IT vendors and outsourced service providers to develop, test and implement the necessary capabilities for the policies / products

Support the policy services team, working with other involved functions in operations & servicing, IT and client management, to resolve incidents and customer feedback / complaints

Monitor, prioritize and manage the systems backlogs for the policy administration systems

Monitor and assist in reporting on the performance of the outsourced service providers

Represent the policy services function in regulatory compliance projects and other cross-department projects (within as well as beyond operations & servicing)

Requirements

At least 7 years’ solid experience in health insurance operations with at least 2 years in a supervisory role

Diploma or above, preferably with insurance-related qualifications, e.g. FLMI

Proven track record of handling projects, process documentation & improvement, and systems changes, working with IT, vendors and stakeholders, developing user requirements and test cases for system, and conducting UAT

Knowledge of AS400 is preferred

Strong analytical mindset, problem solving and attention to details

Good command of spoken and written English and Chinese

Highly organized self-starter, with the ability to be engaged in multiple projects to meet tight deadlines

Excellent interpersonal, communication and influencing skills

Strong PC skills (e.g. Excel and Word)

About The Cigna Group

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.