Customer Service Representative - Cigna Healthcare - Remote

SUMMARY  

The Cigna Group is a global Health Service company that is dedicated to helping people improve their health and vitality. Our Medical Proclaim Provider team seeks dedicated, compassionate, and empathetic Customer Service Representatives, who are genuinely interested in helping people at some critical points of their lives, to join our team. The Call Center Customer Service Representative represents the company, and our people make all the difference in our success.  

  

RESPONSIBILITIES

• Answer inbound calls from health care providers with inquiries regarding medical claims, benefits, appeals, prior authorizations, and medical codes.
• An average of 50+ calls are expected daily.   
• Take inbound calls while toggling through several applications on multiple screens.   
• Attend 100% of trainings, and the first 90 days of employment.   
• Resolve customer complaints through independent problem-solving skills and one-call resolution.   
• Understand and strive to meet or exceed call center metrics while providing excellent consistent customer service.   

  

QUALIFICATIONS   

• High School diploma or equivalent  
• 1 year of customer service experience is required  
• A dedicated workspace with no distractions is required  
• Intermediate proficiency in Microsoft Outlook
• Knowledge of Medical Terminology a PLUS
• Excellent written and oral communication skills

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.

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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.