Customer Service Senior Representative jobs in United States
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The Cigna Group · 1 week ago

Customer Service Senior Representative

The Cigna Group is a leading healthcare company, and they are seeking a Customer Service Senior Representative. This role involves handling inbound and outbound calls, responding to inquiries about insurance claims and policies, and providing assistance to policyholders and providers.

CommercialHealth CareHospitalInsuranceMedical
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Responsibilities

Delivers specific delegated Customer Service tasks assigned by a supervisor
Receives requests by mail, telephone, or in person regarding insurance claims/policies
Responds to inquiries from policy holders, providers and/or others for information and assistance
Performs research to respond to inquiries and interprets policy provisions to determine most effective response
Mails or routes claim forms and supporting documentation to various units for final processing
Independently responds to inquiries, grievances or complaints of moderate to substantial complexity
Completes day-to-day tasks without immediate supervision, but has ready access to advice from more experienced team members
Resolves non-routine issues escalated from more junior team members

Qualification

Healthcare industry experienceThird Party Insurance ProcessesInboundOutbound callsMS Office proficiencyVerbalWritten communicationAttention to detailProblem-solving skills

Required

High School diploma and at least 1+ years of customer service, insurance verification or related area
Basic knowledge of Outlook, Excel, Word, MS Office, SharePoint
Excellent verbal and written communication skills
Ability to interpret and appropriately follow policies, procedures, manuals, and written instructions as given
Demonstrated ability to handle challenging situations in a professional manner
Willingness to work varying tasks
Attention to detail
Knowledge of Third Party Insurance Carrier Processes
MUST have experience taking inbound and outbound calls (30 calls per day)

Preferred

Previous experience in the healthcare industry 1+ years with third-party benefits verification experience
Knowledge of healthcare pharmaceutical and services

Benefits

Medical
Dental
Vision
401K (provided minimum eligibility hours are met)

Company

The Cigna Group

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The Cigna Group is a healthcare firm that focuses on providing hospital services and innovative solutions for better health.

Funding

Current Stage
Late Stage

Leadership Team

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David Cordani
Chairman and Chief Executive Officer
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Michele Berg
CEO Communications
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Company data provided by crunchbase