Customer Service Representative

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $17 - $19 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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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 about Pharmacy Benefit Services benefits, mail-order pharmacies, or Medicare • Handle back-to-back calls while navigating several applications across multiple screens • Update conversion requests and provide shipment status to members • Facilitate transitions of requested medications to home delivery • Contact physician offices by phone, fax, or other means to obtain prescriptions and forward them to the pharmacy • Obtain new prescriptions from physician offices and record approval status • Service incoming calls from doctors’ offices • Accurately document all contacts in appropriate systems to maintain home-delivery quality, HIPAA compliance, and regulatory requirements • Resolve questions or issues preventing order shipment • Uphold quality and productivity standards • Use active listening to address medication coverage or cost concerns and offer coverage-review options • Meet or exceed call-center metrics while providing consistent customer service • Demonstrate compliant call handling and system navigation • Help patients understand pharmacy benefits and answer calls effectively • Document patient interactions in real time • Identify, empathetically address, and appropriately escalate patient concerns

🎯 Requirements

• High School diploma or equivalent required • At least 2+ years of relevant experience; healthcare and/or call center preferred • Dedicated workspace with no distractions required • 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 when dealing 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 10Mbps download/5Mbps upload for home work • Attend 100% of trainings and the first 90 days of employment

🏖️ Benefits

• Annual bonus plan eligibility • Medical insurance • Vision insurance • Dental insurance • Well-being programs • 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