Main Responsibilities: 


Maintain the membership database, by accurately recording and updating information received 
Ensure all membership updates adhere to policy terms and conditions, as well as legal, compliance and underwriting requirements  
Communicate directly with clients via email and telephone within the agreed service levels 
Monitor productivity to ensure you are always... achieving own and team productivity and accuracy goals 


Experience Required: 


Database Entry and/or Database Management experience essential 
Experience within a Customer Service environment  
Proficient in Microsoft Word, Excel and Outlook – advanced Excel would be advantageous 
Educated to standard grade English and Mathematics  
Experience from an insurance background preferred 


Skills/Qualities: 


Strong interpersonal skills with excellent written/verbal communication skills 
Must possess excellent attention to detail, with a high level of accuracy  
Must be able to review information and exercise judgement 
Ability to organise, prioritise and manage workflow to meet individual and team production standards 
Ability to work under own initiative 
Customer focussed with developed problem-solving abilities and a proactive approach to proposing/implementing process improvements 
Good analytical skills 
Ability to navigate systems and applications with ease 
Regulatory awareness 
Ability to work within a large team 
Adaptable to change with a flexible approach to supporting team tasks more

Main Responsibilities: 


Maintain the membership database, by accurately recording and updating information received 
Ensure all membership updates adhere to policy terms and conditions, as well as legal, compliance and underwriting requirements  
Communicate directly with clients via email and telephone within the agreed service levels 
Monitor productivity to ensure you are always... achieving own and team productivity and accuracy goals 


Experience Required: 


Database Entry and/or Database Management experience essential 
Experience within a Customer Service environment  
Proficient in Microsoft Word, Excel and Outlook – advanced Excel would be advantageous 
Educated to standard grade English and Mathematics  
Experience from an insurance background preferred 


Skills/Qualities: 


Strong interpersonal skills with excellent written/verbal communication skills 
Must possess excellent attention to detail, with a high level of accuracy  
Must be able to review information and exercise judgement 
Ability to organise, prioritise and manage workflow to meet individual and team production standards 
Ability to work under own initiative 
Customer focussed with developed problem-solving abilities and a proactive approach to proposing/implementing process improvements 
Good analytical skills 
Ability to navigate systems and applications with ease 
Regulatory awareness 
Ability to work within a large team 
Adaptable to change with a flexible approach to supporting team tasks more

About the Job

We are going through massive, global Agile transformation and as a result we are rapidly expanding our Agile teams across the globe. As part of this transformation, we are looking for an experienced and passionate Systems architect to join the International Organisations Health (IOH) technology train, part of the International Health business unit. This is an excellent opportunity... to join a team that serves a customer base of +500,000 customers in countries across the globe and that’s going from strength to strength, building and shaping our agile frameworks across our global teams.

We are looking for an experienced Systems Architect to work closely with the scrum teams providing technical enablement with respect to subsystems within the Agile release train. As Systems architect, you will be supporting high level decisions for development, creating architectural approaches for software design and implementation with the aim of guiding the development teams. You will help with the alignment to a common architectural and technological vision of an entire solution by defining the systems and subsystems, validating technology assumptions, and evaluating alternatives or options within the context of the ART.

Key Responsibilities


Collaboration: Work with Enterprise architects and stakeholders for reviews and approvals needed as per the process. Collaborate with other professionals to determine functional and non-functional requirements for new software or applications
Work on the overall vision of stakeholders and customers.
Choose the right approach that aligns with business needs.
Implementation oversight: Guide implementation to ensure solutions meet design specifications. Provide guidance to development teams and communicate successfully all concepts and guidelines to development team & oversee progress of development team to ensure consistency with initial design
Integration: Ensure seamless integration of system components with other systems.
Quality assurance: Manage reviews (design/code) for the critical components to ensure systems are robust and secure.
Documentation: Maintain comprehensive documentation for system designs and processes.
Value stream and ART responsibilities: Align system designs with Value streams and ART, participate in PI planning, and support the continuous delivery pipeline.
Continuous improvement: Recommend enhancements to existing systems for improved efficiency.


Requirements and skills


Bachelor’s or master’s degree in computer science, Software Engineering, or a related field.
Proven experience (5 years) as systems architect
Extensive knowledge of software development methodologies, source code management strategies, design patterns, DevSecOps, automation, and best practices.
Ability to translate non-functional requirements such as availability, flexibility, stability, ease of maintenance and security.
Experience of implementing software using Enterprise .NET technologies (.NET 5+), web based and desktop clients, application servers, relational and non-relational databases, container-based services (such as Docker, Kubernetes), service-bus solutions, testing strategies.
Excellent knowledge of software and application design and architecture
Understanding of software quality assurance principles
A technical mindset with great attention to detail
High quality organizational and leadership skills
Strong communication and presentation skills
Strong analytical, problem-solving, and conceptual abilities
Experience with information processing fundamentals and best practices
Ability to prioritize tasks, especially when under pressure


Desirable


Microsoft .NET Core Certified
Experience of using Microsoft Azure DevOps tools
Experience of using Github
Experience of using Jira more

YOUR JOB:


Cigna IM consolidates data into a Common Data Model and Integrated Data Store to enable delivery of a seamless Digital experience to all our stakeholders, clients, plan members and healthcare providers.
The Data Mapping team within Cigna IM provides mapping services and expertise to any team or project within Cigna IM that needs consolidated data.
Your role will be a hands-on... role, responsible for delivering these mapping services to our stakeholders.
You will collaborate with team members, data analysts, systems analysts, product and business partners to evaluate and validate requirements and do the most optimal data mapping against our common data model. You will also be participating in developing our Data Management Tooling platform.


MAIN REPONSIBILITIES:


Delivery of the Data Mapping team you will work in, work with ecosystem, project managers, scrum masters and product owner to ensure that work is completed and that queries, issues, escalations are resolved.
Owning individual mappings for inbound or outbound mapping, own updates to mapping documentation, monitor evolving scope & perform gap analysis, plan and lead workshops, follow-up on CRs to incorporate in plan, manage SMEs and allocate pre-work and research, provide metrics, action data QA feedback.
Build SQL queries to check the results from the mapping workshops.
Validating change requests with full team, perform impact analysis, update and Cigna Data Model
Establishing and maintain strong business relationships with key stakeholders.


SKILLS AND KNOWLEDGE NEEDED:


Problem solver with excellent analytical skills and people skills
Strong communication and presentation skills with ability to organize and facilitate workshops with several stakeholders
Should be resourceful, work well under pressure, and able to keep up in a fast-paced environment.
Extremely detail oriented, with excellent organization skills
Ability to build strong working relationships across the organization
Strong preference for Data Management; able to bridge Data Engineering teams (Mapping, Build & Test data flows, Data Governance) and business/project teams.
Capable of writing (T-)SQL code to check the results from the workshops. As we operate in an Agile environment, as a full-stack team member you might assist in building and maintaining SQL (and SSIS) code to ingest the mapped data into the Integrated Data Store.
Understanding of Healthcare Insurance industry


IDEALLY YOU’LL HAVE EXPERIENCE WITH:


Extensive experience of data analytics / business analytics experience strongly preferred
Experience with standard tools such as MS Excel
Experience with SQL and affinity with Relational Data Models
Proven ability to manage stakeholder communications and facilitate workshops, demonstrating strong verbal and written skills
Demonstrated knowledge of healthcare products, benefits, claims, and/or customer service or related experience
Experience with Data Management tools such as Informatika, Collibra, Erwin is a plus


WHAT WE OFFER:


Permanent contract.
Private pension
Multicultural working environment with Hybrid working.
Enjoy working from the comfort of your home 3 days per week and 2 days from our Nairobi office.
Social Benefits.
Private Medical Insurance.
Educational Development Program. more

Key Responsibilities:


Lead on product discovery phases to understand customer needs, identify technology simplification opportunities, and define the product strategy.
Support the generation of long-term roadmaps aligned with our strategic objectives.
Develop an understanding of the current state and business impacts to support options assessments to ensure appropriate solutions are... developed.
Support technical assessments of potential solutions to provide approximation on costs, dependencies, complexity, and risks.
Work closely with cross-functional teams to validate product hypotheses and make data-informed decisions.
Facilitate brainstorming sessions, ideation workshops, and other collaborative meetings to stimulate innovation and generate / validate new product ideas.
Collaborate with Customer Experience, Data & Analytics, and business teams to ensure the voice of the customer (end user) is represented in the product development cycle.
Define, track, and interpret key product metrics to make informed product development decisions.
Collaborate with stakeholders to ensure alignment between business strategy and product development efforts.
Must be aware of other work being completed within the Portfolio so that they can help teams proactively manage risks and dependencies and propose optimal solutions.
Present product ideas, strategies, and performance metrics to leadership and other team members.
Clearly communicates release timing and delivery dates to Portfolio Leads and Senior Stakeholders.


Required skills and experience:


Bachelor’s Degree required
Strong English language skills required
Experience working in JIRA tool or an equivalent
Knowledge of agile methodology required
Experience within healthcare (strongly preferred)
Both technically deep and business savvy enough to interface with cross-functional partners
Proven ability to develop strong working relationships and establish a high level of credibility across functional and lines of business
High attention to detail and proven ability to manage multiple, competing priorities simultaneously
Demonstrates strong decision-making skills and problem-solving techniques
Demonstrates ability to work independently and as part of a collaborative team in a fast paced and changing environment
Strong interpersonal, facilitation, and presentation skills
Some degree of flexibility to work with International Health stakeholders across multiple regions and time zones more

The Role & Responsibilities:

We are currently looking for a customer service representative (CSR) to join our young and dynamic team. The responsibilities of the role include (but are not limited to):


Managing day-to-day queries from Cigna’s customers whilst putting the service experience at the center of all activities.
Adhering to the productivity and quality standards set by the... management team.
Taking full ownership of all cases and following through up to the end. When required, scheduling follow-ups to keep the customer aware of the progress of their query.
Keeping comprehensive records of all customer interactions in the customer relationship management (CRM) tool.
Handling and processing of medical reports and other highly confidential information in line with all relevant data privacy guidelines (GDPR in particular).
Obtaining & maintaining expert knowledge about all relevant tools, processes, and documentations, but seeking advice from supervisors and higher management when needed.
Liaising with other departments where required for the resolution of a query (claims analysts, medical advisers, finance department etc.).
In case you speak foreign languages, communicating with our customers in those specific languages (including the occasional translation of documents).


What we are looking for:

Education & Work experience:


Bachelor or experience equivalence.
Previous Customer Service Experience desired (ideally Contact Center, Reception or similar).
Good knowledge of MS Office and ability to learn new software applications quickly.
Fluent in English + good and active knowledge of other languages is advantageous, but not essential (French, Portuguese, German, Arabic or Chinese).


Other skills and characteristics of a successful candidate:


Decision-making ability: Quickly understands new situations and takes the right decisions for a fast and accurate resolution of incoming requests. Ability to navigate ambiguity.
Communication: Excellent Communication skills both with colleagues and external customers. The ability to emotionally connect with customers in distress is highly desirable.
Accuracy: High attention to details and a desire to work faultlessly.
Efficiency: Ability to work quickly through customer requests maintaining high quality standards.
Team player: Embraces and promotes a co-operative and friendly work environment in an international and inclusive team.
Discreet: works discreetly with confidential (medical) information.
High resilience to work under pressure & the ability to multi-task. more

Role Overview:


We are seeking a dedicated and skilled Production Support Analyst to join our team. In this role, you will provide critical support for our Policy Administration System that runs on the IBM i platform. You will be responsible for monitoring, maintaining, and troubleshooting incidents, requests and changes required by the production support team ensuring smooth and efficient... operations, particularly during overnight batch processes. The role involves working in an AGILE environment and collaborating with teams across the globe.


Key Responsibilities:


Provide technical support for the Policy Administration System on the IBM i platform.
Monitor overnight batch processes, ensuring timely and accurate completion (on a rotational basis).
Troubleshoot and resolve system issues, minimizing downtime and impact on business operations.
Perform root cause analysis and implement corrective actions to prevent recurrence of issues.
Collaborate with cross-functional teams across different geographical locations to resolve complex technical problems.
Support one week in every three for overnight batch monitoring, and additional coverage as required for holidays and other scheduling needs.
Ability to work as part of a shift rota. (This may include occasional weekend work for big projects)
Utilize SQL and RPG for system maintenance, enhancements, and issue resolution.
Create and maintain documentation for processes, procedures, and problem resolutions.
Participate in system upgrades, patches, and other maintenance activities.
Communicate effectively with stakeholders, providing updates and status reports as necessary.
Use Jira for issue tracking and project management.
Use ServiceNow for incident management, change management, and service request fulfilment.
Work within an AGILE framework, participating in sprint planning, daily stand-ups, and retrospectives.


Qualifications/Knowledge of:


Proven experience in a production support role, preferably within a healthcare or insurance environment.
Strong knowledge and experience with IBM i (AS/400) platform.
Proficiency in SQL and RPG is highly desirable.
Experience with Jira and ServiceNow for issue tracking and service management.
Excellent problem-solving skills and attention to detail.
Ability to work independently and as part of a global team.
Strong communication and interpersonal skills.
Ability to manage multiple priorities in a fast-paced environment.
Flexibility to support overnight batches on a rotational basis and provide additional coverage as needed (essential).
Experience working in an AGILE environment.
Ability to read/speak English.


Preferred Qualifications:


Experience with policy administration systems. (preferred, but not essential)
Familiarity with ITIL or other IT service management frameworks.
Prior experience in the healthcare or insurance industry. (preferred, but not essential) more

Job Description*

Responsible for organizing and processing the flow of incoming and outgoing documents (paper & electronic) in a back-office environment. The candidate ensures there is consistency in   timely delivery of quality and quantity to meet set parameters measures to meet Service Level Agreements

Responsibilities


Receiving and documenting claims both electronic and paper... claims
Sorting, processing, and vetting of claims firsthand for claims payment and ensuring they are accurately assigned.
File management and classification of data and supporting reporting compilation.
Electronic transfer of received claims to the various platforms.
Managing   the flow between members and provider claims
Processing member and provider claims within stipulated Turn Around Times 
Managing the different channels through which claims are received.
Cross referencing of emails received from members and providers for further processing. 
Any other tasks as allocated.


Requirements*:


Active language knowledge of at least English (additional languages are a plus)
Executes assignments accurately and pays attention to detail.
Ability to plan and organise tasks independently.
Excellent time management skills with ability to continuously prioritize set tasks accordingly.
Upholds utmost discretion when handling confidential information.
Ability to handle large quantities of paper and electronic documents.
Works to deliver consistently even under pressure.
Self-Driven and can work with little or no supervision.
Ability to work collaboratively within a team.
Proficient in the use of Spreadsheets, word-processing and associated office IT Skills with CRM systems (e.g.) Salesforce with accurate data inputting.
Accountability – assumes ownership for achieving personal results.
Customer focused while executing mundane tasks.
Copes well in a changing environment
Education*: new Diploma and Bachelors degree (Any) - medical, Paramedical, Commerce, Statistics, Mathematics, Economics or Science, guided by job market
Experience Range*: Role open to new or early career Diploma and Bachelors Degree, guided by job market


Foundational Skills* -



Routine Operations Tasks execution more

Job Description


International Health, a division of Cigna Healthcare, is a leading provider of group healthcare programmes for employees of large multinational organisations and their families. With our continuing global expansion Cigna has an excellent opportunity for an enthusiastic, highly motivated and driven individual to join our Eligibility Team.
Reporting to the Eligibility... Supervisor, you will be responsible for maintaining Cigna’s membership database. You will process requests from internal and external customers reviewing the request and taking the appropriate action, in a timely and accurate manner.
Internal and external clients depend on our accuracy and efficiency when processing client data, so you will be accountable for providing these high levels of service in accordance with the company standards and customer expectations.
Summer 2025 Start Date.
Maintain the membership database, by accurately recording and updating information received
Ensure all membership updates adhere to policy terms and conditions, as well as legal, compliance and underwriting requirements 
Communicate directly with clients via email and telephone within the agreed service levels
Monitor productivity to ensure you are always achieving own and team productivity and accuracy goals


Experience Required:


Database Entry and/or Database Management experience essential
Fluent Spanish is essential for the role
Experience within a Customer Service environment 
Proficient in Microsoft Word, Excel and Outlook – advanced Excel would be advantageous
Diploma or Degree certificate required
Experience from an insurance background preferred


Skills:


Strong interpersonal skills with excellent written/verbal communication skills in both English and Spanish
Must possess excellent attention to detail, with a high level of accuracy 
Must be able to review information and exercise judgement
Ability to organise, prioritise and manage workflow to meet individual and team production standards
Ability to work under own initiative
Customer focused with developed problem-solving abilities and a proactive approach to proposing/implementing process improvements
Good analytical skills
Ability to navigate systems and applications with ease
Regulatory awareness
Ability to work within a large team
Adaptable to change with a flexible approach to supporting team tasks more

Reporting to the Eligibility Supervisor, you will be responsible for maintaining Cigna’s membership database. You will process requests from internal and external customers reviewing the request and taking the appropriate action, in a timely and accurate manner.

Internal and external clients depend on our accuracy and efficiency when processing client data, so you will be accountable for... providing these high levels of service in accordance with the company standards and customer expectations.


Maintain the membership database, by accurately recording and updating information received
Ensure all membership updates adhere to policy terms and conditions, as well as legal, compliance and underwriting requirements 
Communicate directly with clients via email and telephone within the agreed service levels
Monitor productivity to ensure you are always achieving own and team productivity and accuracy goals


Experience Required:


Database Entry and/or Database Management experience essential
Experience within a Customer Service environment 
Proficient in Microsoft Word, Excel and Outlook – advanced Excel would be advantageous
Diploma or Degree certificate required
Experience from an insurance background preferred


Skills:


Strong interpersonal skills with excellent written/verbal communication skills
Must possess excellent attention to detail, with a high level of accuracy 
Must be able to review information and exercise judgement
Ability to organise, prioritise and manage workflow to meet individual and team production standards
Ability to work under own initiative
Customer focussed with developed problem-solving abilities and a proactive approach to proposing/implementing process improvements
Good analytical skills
Ability to navigate systems and applications with ease
Regulatory awareness
Ability to work within a large team
Adaptable to change with a flexible approach to supporting team tasks more