French Eligibility Representative - Cigna Healthcare

Company Details

Name:Cigna
Rating: No ratings yet log in to rate this company
Industry: Insurance
Description: Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security. Cigna has almost 40,000 employees who service over 80 million customer relationships around the world. Within its international division, a dedicated unit - headโ€ฆ Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security. Cigna has almost 40,000 employees who service over 80 million customer relationships around the world. Within its international division, a dedicated unit - headquartered in Belgium - focuses on the needs of International Organisations. This unit is specialised in servicing customers in remote areas as well as central hubs with five service centres in each time zone (Miami, Antwerp, Madrid, Nairobi and Kuala Lumpur) and local representations on every continent. When you work at Cigna, you can count on a different kind of career. >> Why join us? Healthy careers Cigna gives you the opportunity to grow and develop professionally and personally. Because we know our success begins with yours. Healthy returns We offer you monetary and non-monetary rewards. Our compensation is differentiated among employees based on responsibilities and performance. Healthy culture We stand View more View less

Job Details

Job Type: Full Time
Workplace Type: On-site
Qualification: Diploma
Job Experience: Mandatory
Job Location: Nairobi County, Kenya
Closing Date: Undisclosed
Salary: Estimated: KES 25,000 - KES 120,000 / month
Other Pay: Benefits
Job Category: Customer Service

Job Description

Role Overview

This position sits at the front line of membership administration, where accurate records determine whether people can actually access the healthcare benefits they are entitled to. Day to day, you will set up and maintain member eligibility data, handle enrollment and termination activity, and answer questions from clients, customers and colleagues who depend on that information being right. The work blends service, investigation and data stewardship, and it directly shapes how smoothly members move through their healthcare journey with Cigna Healthcare.

Key Responsibilities

  • Create and maintain member eligibility records across multiple systems, covering new enrollments, mid-term adjustments, benefit elections and terminations.
  • Keep eligibility data current through automated feeds, direct-connect interfaces and manual entry, reconciling any gaps between those channels.
  • Act as a primary contact for clients, customers, vendors and internal partners on eligibility matters, responding by phone and email within agreed service timelines.
  • Investigate rejected files, mismatched records and system errors, trace the underlying cause and correct the member data.
  • Produce and review reports to verify data integrity, confirm work is complete and flag anomalies before they reach the member.
  • Provide technical guidance and process explanations to clients and colleagues navigating eligibility administration.
  • Handle member and customer information confidentially and in line with data privacy and regulatory requirements.
  • Spot recurring process gaps and contribute suggestions, project support and improvement ideas that raise service quality and efficiency.

Requirements & Qualifications

  • Diploma, bachelor's degree, or comparable professional experience in place of a degree.
  • Strong written and verbal communication in both English and French.
  • A genuine service orientation and interest in delivering a high-quality customer experience.
  • High accuracy and close attention to detail when entering and checking data.
  • Ability to juggle competing priorities and hit deadlines in a fast-moving environment.
  • Solid analytical and problem-solving ability, particularly when working through data discrepancies.
  • Comfort with Microsoft Office, especially Excel and Outlook.
  • Aptitude for picking up new systems, tools and processes quickly.

Preferred experience

  • Background in customer service, healthcare administration, insurance operations, eligibility management or a closely related area.
  • Hands-on use of customer databases, reporting tools and case management platforms.
  • Technical confidence to troubleshoot data and system issues.
  • Track record of building positive working relationships with internal and external stakeholders.
  • Strong organisation and time management, with a commitment to continuous improvement.

What We Offer / Why Join

You will join a diverse, collaborative team within an international operation, working alongside colleagues across functions and countries on work that has a visible effect on members' healthcare access. The role suits someone who takes ownership of their output, communicates confidently in English and French, and enjoys turning messy data into something reliable. If you like solving problems, improving how things get done, and handling sensitive information with integrity, this is a place to build real expertise in eligibility administration.

552 open positions on Semasocial right now · 10556 open positions in Nairobi County, Kenya · 18 posted in the last 7 days
Contact Information
CV Job Description Matcher See how well your CV matches this job and get tips to improve your chances AI Tool

This tool helps you see how closely your CV matches a job description. It also gives you simple suggestions on what to improve so you have a better chance of getting shortlisted.

Beware of Fraudsters!
Never pay anyone for job applications, interview tests, or job interviews. A genuine employer will never ask you for payment under any circumstances.
Disclaimer & TOS: We do not guarantee the authenticity of every single job posting and are not responsible for any fraudulent activity or misrepresentation by third parties. We are not involved in any stage of the interview or recruitment process and do not charge any fees from job seekers. For further details, please read the rest of the Terms of Service.