Quality Review and Audit Senior Representative

This position will be responsible for auditing the work within the CGHB Organization. As a member of the CGHB Quality Audit Team, the incumbent will have the ability and be expected to drive change, and positively impact the accuracy and efficiency of operations.

**Responsibilities**

+ Completes audits to ensure claim advocates understanding of current Cigna policies and procedures, including job aids, Articles, and alerts. This includes claim processing guidelines, regulatory requirements, contractual benefits, and specific customer circumstances.
+ Understanding of the appropriate application of claim and other directional documents/tools is a key component of the quality assurance auditing process.
+ Interfaces with matrix partners in relation to quality audit process, specifically address gaps identified through audit process and recommendations for gap closure.
+ Completes review of documents related to audits to help ensure direction is clear and cons...