Client Benefits Analyst

4 months ago

Montréal, Canada The Cigna Group Full time

The primary function of the Client Benefit Technical Analyst is to act as a key point of contact for all Health Benefit inquiries and issues for our customers - insurance companies and third party administrators (TPAs). The Client Benefit Technical Analyst will ensure that relationships with our customers are effectively maintained. The Customer Services team provides support to customers on Pharmacy, Dental and Health plans coverage. The team also provides customer support on various database, IT, adjudication inquiries, and coordinating with other departments to fully support customers.

**ESSENTIAL FUNCTIONS**:
Provide technical expertise on Drug, Dental & Extended Health Benefits related issues as requested by customers, such as claim adjudication and payment questions.
Support ESC Clinical team with the implementation of new and existing clinical programs, formularies, and new business development products.
Provide support to Account Managers on various strategic initiatives, communications and promotion of Express Scripts Canada’s products to the marketplace.
Support customers with impact analysis as needed.
Act as the liaison between the customer and other Express Scripts Canada departments and work closely alongside these internal operational representatives to identify and resolve customer needs.
Facilitate and attend various meetings with customers and internal partners.
Provide support to Customer Support Specialist (Call Centre)

**QUALIFICATIONS**:
University Degree, College Diploma or Equivalent experience
Bilingual in French and English written and verbal is a must
Experience in the field of Group Insurance, Pharmacy, Dental or Health Benefits Plans
Pharmacy technician background and/or knowledge of government drug programs (Ontario Drug Benefits, Provincial Formularies, RAMQ) is an asset
Excellent Customer Service capabilities
Demonstrates strong analytical, critical thinking and problem-solving skills
Shows initiative
Ability to multitask and prioritize based on urgency
Able to work effectively with both internal/external customers
Excellent verbal and written communication skills

Express Scripts Canada is a Cigna company
Express Scripts Canada is a subsidiary of Express Scripts, a Cigna company. Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, wellbeing and peace of mind of those we serve. Cigna offers an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.

About Express Scripts Canada
Express Scripts Canada is a leading health benefits manager and has been recognized as one of the most innovative. Our clients include Canada's leading insurers, third party administrators and governments. We work with these clients to develop industry-leading solutions to deliver superior healthcare in a cost-controlled environment. We provide Active Pharmacy services to more than 7 million Canadian patients and adjudicate more than 100 million pharmacy, dental, and extended health claims annually. Through our proprietary consumer intelligence, clinical expertise, and patients-first approach, we promote better health decisions for plan members, while managing and reducing drug benefit costs for plan sponsors.

We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service and alignment.

We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.

We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.

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