Customer Service Representative

🕒 5 days ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $17 - $19 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Answer inbound calls from members, providers, and pharmacies regarding pharmacy benefits, mail-order pharmacies, or Medicare • Take back-to-back calls while navigating several applications across multiple screens • Update conversion requests and provide shipment status • Facilitate medication transitions to home delivery • Contact physicians’ offices by phone, fax, or other means to obtain prescriptions and forward them to pharmacies • Obtain new prescriptions and record approval status • Service incoming calls from doctors’ offices • Accurately document all contacts in appropriate systems • Maintain HIPAA compliance and meet regulatory requirements • Resolve questions or issues preventing order shipment • Uphold quality and productivity standards and meet call center metrics • Use active listening to identify medication coverage or cost concerns and offer coverage review options • Learn and demonstrate compliant call handling and system navigation • Help patients understand pharmacy benefits, address concerns empathetically, and escalate issues when necessary • Document patient interactions in real time

🎯 Requirements

• High School diploma or equivalent required • At least 2+ years of relevant experience; healthcare and/or call center experience preferred • Dedicated workspace with no distractions • Strong computer skills, including Microsoft Office • Strong organization, written communication, and verbal communication skills • Exceptional listening and customer service skills; ability to remain calm and helpful with difficult callers • Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make decisions • Ability to foster teamwork and partnership with cross-functional departments • Ability to work a flexible schedule including nights and/or weekends • Cable broadband or fiber optic internet service with at least 10 Mbps download/5 Mbps upload for home working • Attend 100% of training and the first 90 days of employment

🏖️ Benefits

• Annual bonus plan eligibility • Medical insurance • Vision insurance • Dental insurance • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Work-from-home lifestyle