Cigna Healthcare is seeking a Customer Service Associate Representative to join our mission of guiding customers through the health care system with empowering information and insight. In this remote role, you will provide direct support to participants, clients, and providers by answering inquiries related to group health benefits and claims payments.
What You'll Do
- Answer telephone calls from plan participants, group contacts, and providers regarding benefits and claims.
- Provide clear, accurate, and timely responses to information requests.
- Document all calls by summarizing key points of each conversation.
- Return messages from designated voicemail boxes.
- Read, interpret, and apply plan documents, new amendments, and updates for multiple clients.
- Meet with clients as needed to assist with questions about their health benefit plans.
- Support team members and cross‑functional partners as requested.
- Log faxed claims and enter fax information into the claims system.
- Return misdirected claims to the appropriate provider.
- Assist members with navigating the website.
- Meet or exceed company standards for quality and production.
- Maintain punctual and reliable attendance.
- Support claim information research and identification.
- Assist with provider record maintenance tasks.
- Index claims and correspondence batches.
- Complete responsibilities assigned for specific client groups.
- Aid in employee training and cross‑training.
- Research and prepare refund documentation.
What We're Looking For
- High school diploma or GED.
- Basic computer and customer service experience.
- Excellent verbal and written communication skills.
- Proficiency with PC tools including Windows, Word, and Adobe Acrobat; ability to learn new software.
- Minimum typing speed of 45 wpm.
- Strong listening skills and attention to detail.
- Basic mathematical competency.
- High interpersonal skills and the ability to work collaboratively.
- Ability to organize and recall large amounts of detailed information.
- Capability to read, analyze, and interpret benefit plans, insurance documents, and regulations.
- Professional attitude with the ability to project a positive image in all work environments.
- Commitment to privacy and confidentiality standards.
- Flexibility to work under pressure and meet deadlines.
- Strong problem‑solving abilities with professionalism and patience.
Technical Stack
- Windows
- Word
- Adobe Acrobat
- Chronolog
Work Mode
This is a fully remote position.
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.
