Account Installation Representative

About the role

The Account Installation Representative is responsible for accurately configuring and maintaining medical benefit plans within internal and TPA systems. This role ensures that members, providers, and clients have correct and up-to-date information on eligibility, coverage rules, authorization requirements, and claim adjudication parameters

Responsibilities

• Analyze product documents and policy schedules to build and configure benefit plans for both internal use and TPA.
• Set up eligibility, copays, deductibles, out-of-pocket maximums, covered services, and provider networks, Annual/lifetime caps and service-level exclusions/inclusion.
• Maintain and validate API/data feed integration between internal system and TPA systems (e.g., policy enrollment, benefit tables, provider networks).
• Review and validate group setup and benefit plan changes, updates, and renewals. Coordinate with underwriting, sales, and client services teams to gather accurate plan information. Validate benefit configurations before policy activation to avoid claim errors.
• Work closely with underwriting, sales, Business support, and policy validation teams to ensure accurate reflection of client and product specifications.
• Participate in UAT (User Acceptance Testing) for plan benefit setups or system enhancements.
• Coordinate with TPAs to align benefit configuration between internal system and the TPA platforms.
• Conduct benefit mapping and data exchange configuration manuals and documents with TPAs
• Maintain configuration documentation, setup logs, and audit trails as per regulator and internal compliance protocols.
• Responsible for partnering with broader Operations teams to ensure activities related to Operational Readiness, including business support, eligibility, compliance contact center and claims are ready to service by client's effective date.
• Responsible to resolve benefit-related discrepancies flagged by claims or customer service between internal system and the TPA platforms.

Requirements

• Bachelor's degree in healthcare administration, Business, or 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 (CHI, IA, Nphies.)
• Knowledge of regulatory standards benefits and products
• Excellent attention to detail and analytical skills
• Proficient 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
• Why Join Us
• Competitive salary aligned with the market.
• Multicultural and hybrid working environment.
• Private Medical Insurance.
• Employee Wellbeing Benefits.
• Educational Development Program supporting continuous learning and growth.
• About The Cigna Group

Benefits

Additional Information

About Cigna Healthcare Cigna Healthcare is a global health service company dedicated to transforming healthcare. With roots in the U.S. and operations in over 30 countries, we serve more than 180 million customers and patients worldwide. Ranked 13th on the Fortune 500 in 2025, Cigna is recognized as one of the most trusted and influential names in the industry. Our mission is to improve the health, well being, and peace of mind of those we serve. Cigna Saudi Arabia, a branch of Cigna Worldwide Insurance Company, and the first foreign company license by Insurance Authority in KSA, is committed to delivering best-in-class health solutions aligned with Vision 2030. You'll join a globally recognized organization where trust, clear communication, and a positive culture shape how we work. Our leaders are consistent, approachable, and supportive, helping you maintain balance while doing meaningful work. We look for people who thrive in collaborative environments, care about meaningful change, and want to grow in a company that puts people first. At Cigna Healthcare, your work contributes to better care experiences and supports customers through important moments in their lives.

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