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.
Provider Relations & Claims Advocate
Job not on LinkedIn
🔥 2 hours ago
📊 Check your resume score for this job
Improve your chances of getting an interview by checking your resume score before you apply.
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 and providers regarding claims, contracting, and provider relations • Handle a high volume of back-to-back calls in a structured phone queue • Make outbound calls for issue resolution and follow-up • Use multiple applications to research and resolve inquiries • Handle claim status inquiries and explanations • Process requests for claim reprocessing or adjustments • Address provider contract questions and demographic updates • Correct authorizations to ensure proper claim payment • Process duplicate EOB and check reissuance requests • Handle escalated issues through Advocate Handoff/Help Request (AHHR) • Submit complaints on behalf of members or providers • Email resources and documentation to callers
🎯 Requirements
• Bachelor’s degree is required • Proven customer service experience • Prior experience in Evernorth Behavioral Care Specialist/Advocacy role preferred • Experience handling behavioral health claims and provider relations calls is a plus • Ability to thrive in a virtual team environment • Strong interpersonal and communication skills • Effective listening and organizational abilities • Technical aptitude with multiple systems and applications • Independent problem-solving and time management skills • Proficient typing and PC skills • Availability for Monday–Friday training, 8:30 AM–5:00 PM CT • Availability after training for Monday–Friday shifts between 7:00 AM–7:00 PM CT • Cable broadband or fiber optic internet with at least 10 Mbps download/5 Mbps upload for home work
🏖️ Benefits
• Annual bonus plan eligibility • Medical benefits • Vision benefits • Dental benefits • 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
Apply NowSimilar Jobs
🔥 2 hours ago
Claims Advocate helping California clients resolve property and casualty insurance claims. Joining a leading insurance agency in a growth-focused opportunity.
🔥 19 hours ago
Businessolver
1001 - 5000
Employee Benefits Advocate handling enrollment calls for Businessolver’s benefits technology and services. Supporting clients with accurate benefit inquiries, documentation, and enrollment transactions from home.
🇺🇸 United States – Remote
💵 $20 / hour
💰 Private Equity Round on 2021-12
⏰ Full Time
🟡 Mid-level
🟠 Senior
🦅 H1B Visa Sponsor
🕒 Yesterday
Patient Success Advocate supporting U.S. patients in Cadence’s chronic-care AI monitoring program. Handling multichannel inquiries, device education, escalations, and engagement initiatives on a four-day schedule.
🕒 Yesterday
Patient Success Advocate supporting U.S. patients through phone, email, and chat for Cadence’s chronic-care AI monitoring program. Driving engagement, retention, issue resolution, and accurate care-team documentation.
🕒 2 days ago
Express Claims Advocate resolving lower-complexity commercial liability claims for Next Insurance, a technology-led small-business insurer. Investigating coverage, liability, damages, and settlements while protecting customer interests.
