11 days old

Customer Service Representative- Sunrise, FL

Sunrise, FL 33351
  • Job Code
Professional fluency in English and Spanish (must read and write Spanish) required

Job Summary:

Cigna is a global health insurance company, dedicated to its mission of helping the people we serve improve their health, well-being and sense of security. We are a young and dynamic company that is constantly evolving to keep alive the highest concept of wellness and provide our customers the best service.

Do you enjoy talking to people? Are you seeking a multicultural environment at a "Great Place to Work" where you can develop your career?

Core Responsibilities:

- Providing customer services for international claims for the reimbursement of medical expenses for the unit's dedicated contracts.

- Responding to incoming queries from members and providers in an appropriate and timely manner. Appropriate responses may require in-depth analysis and involve expert advice (Medical Consultant, Account Manager, Network Manager, Legal Advisor etc). An appropriate response that is correct, clear, concise and customer-friendly.

- Answering incoming overflow calls from the COCE for dedicated contracts, or those escalated by the COCE for expert advice.

- Taking ownership of difficult or high-value files.

- Responding via the most efficient channel (e.g. phone, e-mail, letter, etc).

- Following up on the individual workload and taking appropriate action when agreed targets are not met.

- Pro-actively optimizing the unit's workflows to achieve set targets.

- Providing accurate file information to internal employees where required.

- Tracking procedural irregularities and raising these with the Supervisors.

- Raising problems or difficult issues with the Head.

- Actively working to maintain a co-operative and friendly working environment.

Minimum Requirements:

- Must have a High School Diploma.

- Bachelors or similar by experience a plus.

- Minimum of two years experience in call center customer service.

- Great computer skills required.

- Experience with Microsoft Office Suite (Outlook, Excel, Word) required.

- Sales force experience a plus.

- Ability to function in a team based/matrix environment.

- Strong commitment, drive and motivation to provide excellent customer service.

- Empathetic and sensitive to patients' needs and concerns.

- Ability to communicate clearly and professionally both verbal and written.

- Detail oriented and able to accurately input and effectively manage data.

- Ability to understand and interpret policy provisions.

- Ability to take personal ownership for meeting/exceeding all production and quality standards.

- Finds a good balance between quality and quantity.

- Ability to work discretely with confidential (medical) information.

- Team-player: enjoys working as part of a team.

NOTE : We are currently training in a work at home environment, and you will be required to have reliable internet connectivity provided through a wired connection. A mobile or hot spot environment is not acceptable.

This role is Flex/WFH which allows most work to be performed at home or on occasion at a Cigna office location. Employees must be fully vaccinated if they choose to come onsite.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Posted: 2022-01-07 Expires: 2022-02-05
Sponsored by:
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Sponsored by:
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Customer Service Representative- Sunrise, FL

Sunrise, FL 33351

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