Customer Service Representative

🔥 10 hours ago

🇺🇸 United States – Remote

💵 $17 - $19 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Logo of The Cigna Group

The Cigna Group

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 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 transitions of medications to home delivery • Contact physicians’ offices by phone, fax, or other means to obtain prescriptions and forward them to the pharmacy • Obtain new prescriptions and record approval status • Service incoming calls from doctors’ offices • Accurately document all contacts in appropriate systems, including HIPAA compliance documentation • Resolve questions or issues preventing order shipment • Uphold quality and productivity standards • Explain pharmacy benefits and answer patient calls using training and problem-solving skills • Document patient interactions in real time • Identify and empathetically address patient concerns and escalate when necessary • Meet or exceed call center metrics while providing consistent customer service • Demonstrate compliant call handling and system navigation

🎯 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 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 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 • Attend 100% of training and the first 90 days of employment • Cable broadband or fiber optic internet connection with at least 10 Mbps download and 5 Mbps upload for home working

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits starting on day one • 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

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