Customer Service Representative - Cigna Healthcare - Remote

The Cigna Group is an advocate for better health through every stage of life. They are seeking a Customer Service Associate Representative to provide support to participants, clients, and providers by answering inquiries related to group health benefits and claims payments.

Responsibilities:

• Answer telephone calls from plan participants, group contacts, and providers regarding benefits and claims
• Provide clear, accurate, and timely responses to information requests
• Document all calls in Chronolog by summarizing key points of each conversation
• Return messages from designated voicemail boxes
• Read, interpret, and apply plan documents, new amendments, and updates for multiple clients
• Meet with clients as needed to assist with questions about their health benefit plans
• Support team members and cross‑functional partners as requested
• Log faxed claims and enter fax information into Chronolog
• Return misdirected claims to the appropriate provider
• Assist members with navigating the website
• Meet or exceed company standards for quality and production
• Maintain punctual and reliable attendance
• Support claim information research and identification
• Assist with provider record maintenance tasks
• Index claims and correspondence batches
• Complete responsibilities assigned for specific client groups
• Aid in employee training and cross‑training
• Research and prepare refund documentation

Requirements:

• High school diploma or GED required
• Basic computer and customer service experience
• Excellent verbal and written communication skills
• Proficiency with PC tools including Windows, Word, and Adobe Acrobat; ability to learn new software
• Minimum typing speed of 45 wpm
• Strong listening skills and attention to detail
• Basic mathematical competency
• High interpersonal skills and the ability to work collaboratively
• Ability to organize and recall large amounts of detailed information
• Capability to read, analyze, and interpret benefit plans, insurance documents, and regulations
• Professional attitude with the ability to project a positive image in all work environments
• Commitment to privacy and confidentiality standards
• Flexibility to work under pressure and meet deadlines
• Strong problem-solving abilities with professionalism and patience