Offer summary

Qualifications:

High School Diploma or GED required, Bachelor's Degree preferred., 2+ years of experience in Individual Family Plan (IFP) or Group Plan Eligibility., Technical proficiency with Microsoft Office, especially Excel, including V-lookups and pivot tables., Strong written and oral communication skills with the ability to work independently and in a team..

Key responsibilities:

Implement and maintain electronic and manual eligibility data in core systems.

Reconcile eligibility between various source systems and identify data integrity errors.

Act as a Subject Matter Expert (SME) for projects related to Eligibility and Electronic Enrollment.

Support cross-functional activities and adapt to team needs for capacity shortages.

Job description

The Cigna Group is hiring an Eligibility Senior Representative for Individual and Family plans (IFP). This role will be responsible for implementing, updating and maintaining electronic and manual eligibility data in the core systems. You would also be accountable for identifying any file formatting or data integrity errors, identifying process improvement opportunities for eligibility, and partnering with internal and external partners and vendors to create a positive customer experience. You may provide or facilitate limited technical support for electronic processing of eligibility and may work with internal partners to provide expertise and resolve file errors.

What you'll do:

Reconciliation of eligibility between various eligibility source systems
Interacts with internal and/or external partners on and offshore
Takes individual ownership to identifier barriers and areas of opportunities
May be assigned as a Subject Matter Expert (SME) for projects involving Eligibility and/or Electronic Enrollment
Accountable for identifying file formatting or data integrity errors and working with the business leads for resolution
Appropriately use DPL (Daily Production Log) as part of MOS (Management Operating System)
Support cross functional activities to help with capacity shortages, this includes learning and adapting to the team’s need and capacity availability

Requirements:

High School Diploma or GED. Bachelor’s Degree preferred
2+ years of Individual Family Plan (IFP) or Group Plan Eligibility experience, highly preferred
Centralized Eligibility Database, (CED) and/or Facets experience, preferred
Technical ability with Microsoft Office products (i.e. Outlook, Word, etc.), required
Intermediate skills with Excel, including, V-lookups, pivot tables, etc. and navigating multiple systems platforms, highly preferred
High level of written and oral communication skills
Demonstrated ability to learn and apply knowledge quickly while utilizing perseverance and customer-centric approaches in day-to-day work
Ability to work independently with limited supervision and in a team environment
Ability to manage multiple priorities simultaneously

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 19 - 28 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 The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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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