Offer summary

Qualifications:

High school diploma or equivalent required., 4+ years of experience in customer service, with 2 years in an ESI contact center environment preferred., Excellent verbal and written communication skills, with the ability to handle challenging customers professionally., Proficient in Microsoft Office and general PC knowledge, with a willingness to work flexible hours..

Key responsabilities:

Handle escalated inquiries from clients regarding pharmacy benefits and issue resolution.

Document inquiries and resolutions in a centralized database, identifying repetitive issues for process improvement.

Collaborate with other departments to research and resolve client issues while maintaining service levels.

Assist supervisors with work distribution and team goal development as needed.

Job description

****Shift: Monday - Friday, 11:30 AM – 8:00 PM CST

The Client Service Center Specialist handles escalated or complex inquiries from clients related to member specific pharmacy benefits. This position is responsible for working to research and resolve inquiries within CSC performance guidelines. The CSC educates clients on their benefit design which enables the client to better assist their members. The CSC documents inquiries and resolution in a centralized database, and helps to identify repetitive issues or questions in order to pursue process or procedural changes. The CSC may assist supervisor with work distribution and work plan development for team goals. The CSC escalates issues as necessary.

ESSENTIAL FUNCTIONS

Day to day contact with clients for issue resolution by handling inbound client calls and written correspondence while maintaining service levels.
Act as the first point of contact for resolution of complex issues from clients and account management.
Make independent judgments in order to respond to complex or critical customer issues.
Work collaboratively with other departments to research and resolve issues.
Respond to clients and account managers within performance agreement guidelines.
Maintain accurate and complete documentation of all inquiries.
Research and process adjustment requests
Identify, document, and report all repetitive questions and/or problems and recommend potential solutions.
Other projects and tasks as assigned.

QUALIFICATIONS

High school diploma or equivalent
4 years (or more) experience in a customer service setting
2 years in an ESI contact center environment
RTL experience is a plus
Knowledge of ESI products and services
Proficient knowledge of ESD
Excellent phone presentation skills, verbal, and written communication skills
Demonstrated ability to handle challenging customers in a professional manner
Ability to adapt in a dynamic work environment, learn quickly, solve problems and make decisions with minimal supervision.
General PC knowledge including Microsoft Office, Internet, and email, along with a detailed knowledge of ESI’s call center systems
Willingness to work a flexible schedule for peak call times
Ability to multi-task
Bilingual (Spanish) is a plus

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 23 - 35 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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