Customer Service Associate
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Job Description
Customer Service Associate at Cigna Healthcare answering inquiries about health benefits. Assist participants and providers with claims and benefit documentation as part of a remote team.
Responsibilities:
- Answer telephone calls from plan participants, group contacts, and providers pertaining to benefits and claims inquiries.
- Provide clear and accurate responses to requests for information.
- Document all calls into Chronolog for future referral.
- Return messages left in designated voice mailboxes.
- Read and interpret plan documents for numerous clients, review new documents and amendments as added.
- Meet personally with clients as necessary to assist with questions pertaining to their health benefit plan.
- Assist team members as requested.
- Log faxed claims in Chronolog.
- Return misdirected claims to appropriate provider as received.
- Assist members with website.
- Meet or exceed company standards for production and quality.
- Contribute to the daily workflow with regular and punctual attendance.
- Assist with claim information research and identification.
- Assist with provider record maintenance as assigned.
- Index claim and correspondence batches as assigned.
- Perform assigned duties for specific client groups as needed.
- Assist with employee training and cross-training as needed.
- Research and write up refunds as assigned.
Requirements:
- High school graduation or GED required.
- Basic computer and customer service experience required.
- Excellent oral and written communication skills required.
- PC skills, including Windows, Word and Adobe Acrobat.
- Typing ability of 45 wpm.
- Excellent listening skills.
- Basic mathematical skills.
- High level of interpersonal skills to work effectively with others.
- Ability to organize and recall large amounts of detailed information.
- Ability to read, analyze and interpret benefit summary plan descriptions, insurance documents and regulations.
- Ability to project a professional image and positive attitude in any work environment.
- Ability to comply with privacy and confidentiality standards.
- Ability to be flexible, work under pressure and meet deadlines.
- Ability to analyze and solve problems with professionalism and patience.
Benefits:
- Health insurance
- 401(k) matching
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