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SUMMARY
The Cigna Group is a global Health Service company dedicated to helping people improve their health and vitality.
Our Dental team is seeking Customer Service Representatives who are genuinely interested in helping people at some critical points in their lives.
As a customer service representative, you will work directly with our customers over the phone by answering any questions regarding benefits and claims.
The Call Center Customer Service Representative represents the company, and our people make all the difference in our success.
RESPONSIBILITIES
• Respond to inbound calls from customers, employers and brokers regarding eligibility, benefits, and claims
• An average of 50-70 calls are expected daily
• Take calls back-to-back while toggling through several applications on multiple screens
• Resolve customer complaints through independent problem-solving skills and one-call resolution in a timely manner
• Adhere to company policies and procedures when handling customer requests and concerns
• Understand and strive to meet or exceed call center metrics while providing accurate information to callers with a courteous and professional demeanor
• Ensure customer satisfaction through every interaction by taking the necessary steps to ensure the best possible experience
• Work in a highly customer-focused metric-driven environment
• Availability to attend 100% training and the first 90 days (about 3 months) of employment
• Must be present and engaged as an active participant in training
• Must always have webcam on during training (unless approved to be off by trainer)
QUALIFICATIONS
• High School diploma or equivalent
• 2+ years of customer service experience is required
• A dedicated workspace with no distractions is required
• Ability to perform in a professional, structured environment and adhere to a scheduled shift
• Ability to show empathy and service customers with a courteous and professional demeanor
• Ability to build strong customer relationships and deliver customer centric solutions
• Ability to quickly and effectively identify the root cause of the problem and determine appropriate resolution
• Strong listening skills
• Ability to remain calm and helpful even when dealing with difficult situations
• Strong typing skills, previous computer experience
• Ability to work within and toggle between multiple applications at one time
• Proficiency in Microsoft Outlook
• Strong organization skills, written, and verbal communication skills
• Foster teamwork and partnership with cross-functional departments to resolve issues and improve customer experience.
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 17.75 - 19 USD / hourl...
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Type: Permanent Location: Glendale, US-CA
Salary / Rate: Not Specified
Posted: 2025-07-11 09:02:43
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The part of the Account Management Senior Associate (Associate Account Manager) will provide support to the Account team of their assigned Coalition.The Account Management Senior Associate will provide client facing support, non-standard reporting, submit client access requests, and assistwith benefit set up and project support as requested.
The primary focus for the position is executing client-specific operational deliverables, identifying service trends, supporting operational needs and issue resolution.
In order to function effectively in the model, the Account Management Senior Associate must collaborate with the Account Manager, Account Executive, and Clinical Account Executive to successfully service the entire Book of Business.
The primary measure of the Account Management Senior Associate's performance is by way of both the Account Team and client satisfaction.
Essential Functions
* Assists the Account Management team by providing client facing support.
* Maintains ownership for assigned service/operational deliverables and ensures operational excellence and set-up quality.
* Assist withmonitoring and identifying service trends as requested, to allowing for immediate resolution of any service issues.
* Assist with both standard and non-standard reporting/analytics as needed.
* Handling Billing and Rebates research.
* Implementation and setup of ESI products and services.
* Work on Ad-hoc Projects as needed.
* Collaborate and take immediate action to resolve operational/service-related issues; escalate issues when appropriate and drive recovery efforts.
* Serve as the voice of the client within Express Scripts to drive continuous service improvement and accountability.
* Coordinates deliverables with internal operational departments to ensure client satisfaction and loyalty.
Qualifications
* Bachelor's degree in related field or 5+ years of relevant experience.
* Strong PC skills including Microsoft Office products, e-mail and the Internet.
* Excellent verbal and written communication and presentation skills.
* Strong analytical and problem solving skills.
* Responsiveness, relationship building and Accountability
* Knowledge of the healthcare and PBM industry preferred.
* Strong focus on book of business client satisfaction and client retention results.
* Demonstrated ability managing projects, utilizing proven project management processes.
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.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible...
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Type: Permanent Location: Tampa, US-FL
Salary / Rate: Not Specified
Posted: 2025-07-11 09:02:40
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Location: Remote Opportunity - Must live in Arizona, Ohio, Indiana, Georgia, Pennsylvania, Texas, Oregon, or Virginia.
Summary: Are you passionate about assisting others andready to thrive in a fast-paced, highly structured virtual environment? Join our team at Accredo Specialty Pharmacy, a leading specialty pharmacy serving patients with complex and critical health conditions.
As aCustomer Service Call Center Representative, you'll play a vital role in supporting patients, ensuringtimely access to life-impacting medicationswhile representing Accredo with professionalism and empathy.
This is not a typical customer service role - our work directly impacts patients' health and well-being.
We are looking for individuals who are dedicated, detail-oriented, and committed to making a difference.
Key Responsibilities
* Answer inbound phone calls in ahigh-volume contact centersetting with professionalism and efficiency.
* Support patients with medication orders, benefits explanations, billing inquiries, and complex issue resolution.
* Follow structured workflows andadhere to a scheduled, continuous call-taking environment until designated breaks.
* De-escalate concerns and provide empathetic solutions within standard operating procedures.
* Maintain patient confidentiality and comply with healthcare regulations.
* Meet monthly performance metrics and actively participate in ongoing training and feedback.
Role Expectations
* Attend a paid 9-week virtual training program (on camera) with required participation in live call-taking and assessments.
* Maintain reliable internet and a distraction-free home workspace.
* This is ahighly structuredrole requiring the ability to remain focused and engaged while takingback-to-back calls for the duration of each shift.
* The position involves handlingsensitive health-related issues, not casual customer service requests.
* Ideal candidates will understand theserious natureof the work and the importance ofaccuracy, empathy, and responsibility.
* This is a desk-based role that requires the ability to sit for extended periods and work at a computer screen throughout the entire shift.
Qualifications
* High School Diploma or equivalent required.
* No experience required, but 1+ years of healthcare customer service experience preferred.
* Ability to excel in a high-volume call center environment.
* Flexibility with a changing environment of call types, processes, and procedures.
* Strong problem-solving skills with the ability to analyze situations, identify solutions, and take appropriate action in real-time.
* Strong communication skills, both written and verbal.
* Organized with excellent time-management abilities.
* Customer-oriented with the capacity to adapt to various patient perspectives.
* Proficient in Microsoft Office Suite and navigating multiple systems simultaneously.
* Must be available to work...
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Type: Permanent Location: Grove City, US-OH
Salary / Rate: Not Specified
Posted: 2025-07-11 09:02:39
