Job Description
Summary: The Eligibility Representative, under minimal supervision, will resolve requests received by the policyholder with an efficient, professional, courteous and friendly manner and follow through each inquiry/request until completion. Consistently maintains department standards for quantity and quality. The processor will retain and utilize information, policies, procedures, and resources to ensure accurate and efficient responses to our customers and business partners. The individual will effectively handle and relay information concerning benefits according to specified benefit plan design while meeting or exceeding established goals.
Major responsibilities and desired results: - Perform research, process service requests, and other applicable processing from customers and other business units within established service standards
- Capacity to retain and utilize information, facts, policies, procedures, resources and codes to ensure accurate and efficient responses to meet/exceed established goals for QQ audits & surveys
- Compliance with HIPAA regulations and Cigna guidelines
- Accuracy in relaying information concerning benefits according to specified benefit plan design and accurately document content of the customer request
- Desire to meet or exceed goals associated with processing goals, Schedule Adherence and Quality; while using efficient and appropriate work practices.
- Participation in team and general Customer Service meetings to support organizational goals.
- Flexibility to handle changes within the department and the company to include supporting extended hours determined by the business
- Create and maintain a positive and team-oriented attitude
Qualifications: - Must be proficient with LifePRO & OnBase applications
- Strong oral & written communication skills
- Strong data entry and proficient use of multiple applications simultaneously.
- Ability to locate and interpret complex information from multiple applications.
- Capacity to work in a high volume environment while meeting required quality standards.
- Previous office administrative work experience, preferred
- High school degree or GED required.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an hourly rate of 17 - 24 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
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:
[email protected] for support. Do not email
[email protected] for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Job Tags
Hourly pay, Holiday work, Permanent employment, Work experience placement, Local area, Remote job, Work from home,