Eligibility Senior Analyst - HIH - Evernorth

ABOUT EVERNORTH: 

Evernorth℠ exists to elevate health for all, because we believe health is the starting point for human potential and progress. As champions for affordable, predictable and simple health care,
we solve the problems others don’t, won’t or can’t. 

Our innovation hub in India will allow us to work with the right talent, expand our global footprint, improve our competitive stance, and better deliver on our promises to stakeholders. We are passionate about making healthcare better by delivering world-class solutions that make a real difference.

We are always looking upward. And that starts with finding the right talent to help us get there.
 

The Eligibility Senior Analyst is responsible for handling daily operational issue resolution, special projects and administrative operational support for the Client Service Team and Account Management Operations. Position requires account and operational knowledge in order to identify route cause, resolve issues, identify trends, and ensure client satisfaction.


Essential Functions

• Provide business support to clients and account management to ensure satisfaction with issue resolution.
• Consults with Account Management, leadership, and other ESI areas to provide analysis and direction on prioritizing and resolving client issues, with minimal client interaction.
• Responsible for handling daily routine issue analysis, work assignments, and other administrative support.
• May facilitate activities with other areas to oversee delivery of client’s needs.
• Participate in process improvement activates and share ideas for enhancing processes.
• With a focus on quality and timeliness, maintain ownership for assigned work queue.
• Meet all service standards to ensure client satisfaction.
• Handle routine work stream assignments along with, but not limited to, member and file research, assisting with file processing, advisory role to account mgmt.
• Resolve issues and provide escalation as needed.
• Participate in process improvement conversations and implementation.
• Provide support for year end and 1/1 readiness activities outside of normal schedule.
• Participate in team meetings as required.
• Maintain performance metrics as required.

Qualifications

• High School Diploma or equivalent required
• Strong analytical and problem-solving skills
• Excellent communication (oral and written) and presentation skills
• Demonstrated ability to adapt in a dynamic work environment and make decisions with minimal supervision
• Ability to manage timelines and deadlines
• Detail oriented, ability to multitask in a fast-paced environment
• Ability to work collaboratively with other departments to resolve issues with innovative solutions
• Proficiency using MS Office software

• Experience: 2–4 Years

Equal Opportunity Statement

Evernorth is an Equal Opportunity Employer actively encouraging and supporting organization-wide involvement of staff in diversity, equity, and inclusion efforts to educate, inform and advance both internal practices and external work with diverse client populations.

About Evernorth Health Services