390 Cigna-Evernorth Services Inc. is hiring a Customer Service Associate Representative to support our Cigna Healthcare members, clients, and providers. In this remote role, you will serve as a primary point of contact for inquiries about group health benefits and claims payments, ensuring accurate and professional assistance.
What You'll Do
- Answer telephone calls from plan participants, group contacts, and providers pertaining to benefits and claims inquiries.
- Provide clear and accurate responses to requests for information.
- Document all calls into Chronolog for future referral.
- Return messages left in designated voice mailboxes.
- Read and interpret plan documents for numerous clients, reviewing new documents and amendments as added.
- Meet personally with clients as necessary to assist with questions pertaining to their health benefit plan.
- Assist team members as requested.
- Log faxed claims by entering information received into Chronolog.
- Return misdirected claims to appropriate providers.
- Assist members with website navigation.
- Meet or exceed company standards for production and quality.
- Contribute to the daily workflow with regular and punctual attendance.
- Assist with claim information research and identification.
- Assist with provider record maintenance as assigned.
- Index claim and correspondence batches as assigned.
- Perform assigned duties for specific client groups as needed.
- Assist with employee training and cross-training as needed.
- Research and write up refunds as assigned.
What We're Looking For
- High school graduation or GED required.
- Basic computer and customer service experience required.
- Excellent oral and written communication skills required.
- PC skills, including Windows, Word and Adobe Acrobat. Ability to adapt to software changes.
- Typing ability of 45 wpm.
- Excellent listening skills.
- Basic mathematical skills.
- High level of interpersonal skills to work effectively with others.
- Ability to organize and recall large amounts of detailed information.
- Ability to read, analyze and interpret benefit summary plan descriptions, insurance documents and regulations.
- Ability to project a professional image and positive attitude in any work environment.
- Ability to comply with privacy and confidentiality standards.
- Ability to be flexible, work under pressure and meet deadlines.
- Ability to analyze and solve problems with professionalism and patience.
Technical Stack
- Chronolog
- Windows
- Word
- Adobe Acrobat
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.
