QA Audit Lead - Insurance & Claims Expert

Cigna Healthcare; Riyadh; On-site; SAR 60,000 - 90,000; Full time

Job summary

The Cigna Group in Riyadh is seeking an experienced Quality Auditor to join our audit team. You will perform delegated QA tasks, conduct complex audits and ad-hoc projects, and work with senior management to improve processes and ensure compliance.

The ideal candidate has 2 years in the Middle East insurance market or medical claims auditing, is fluent in Arabic and English, and can produce clear reports while coaching peers.

Qualifications

• 2 years’ experience in Middle East Insurance Market.
• 2 years’ experience in medical claims and/or an auditing role.
• Excellent Arabic and English skills, verbal and written.
• Ideally NAS Neuron experience of at least 1 year.
• Medical background preferred.
• High energy, results-oriented individual able to coordinate and prioritize multiple tasks to meet deadlines.
• Ability to think analytically, interpret information / observations and make effective decisions.
• Professional verbal and written communication skills.
• Ability to listen attentively, build rapport and ask structured open / closed questions.
• Ability to diffuse and resolve instances of conflict.
• Ability to produce clear and factual reports.
• Ability to present information and ideas in a confident, creative, and interactive manner.
• Ability to explain audit findings and trends and provide constructive feedback; work patiently with staff of different experience levels.

Responsibilities

• Participates in complex audits, third party audits, ad-hoc projects and assignments as defined by the Quality Auditor Team Manager.
• Performs root cause analysis on audit findings to understand why the findings occurred.
• Agrees suitable action plans to remove root causes and prevent findings from recurring.
• Monitors performance trends and agrees suitable action plans to address these trends.
• Identifies improvements to both audit and operational processes and procedures.
• Collates and reports audit findings to Senior Management accurately and on time.
• Assists in the development of audits and audit processes and procedures.
• Acts as a subject matter expert who supports their fellow Auditors.

Skills

Analytical thinking

Arabic & English

Communication skills

Time management

Coaching others

Conflict resolution

Report writing

Teamwork

Stakeholder comms

Tools

NAS Neuron

Job description

The Cigna Group in Riyadh is seeking an experienced Quality Auditor to join our audit team. You will perform delegated QA tasks, conduct complex audits and ad-hoc projects, and work with senior management to improve processes and ensure compliance.

The ideal candidate has 2 years in the Middle East insurance market or medical claims auditing, is fluent in Arabic and English, and can produce clear reports while coaching peers.