Customer Service Representative – Remote

The job profile for this position is Customer Service Associate Representative, which is a Band 1 Professional Career Track Role. Excited to grow your career... We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. SUMMARY The Cigna Group is a global Health Service company dedicated to helping people improve their health and vitality. We seek dedicated, compassionate, and empathetic Customer Service Representatives to join our team who are genuinely interested in helping people at some critical points of their lives. The Call Center Customer Service Representative represents the company, and our people make all the difference in our success. RESPONSIBILITIES • Answer inbound calls from members, providers, and pharmacies with questions about Pharmacy Benefit Management (PBM) benefits, mail-order pharmacies, or Medicare. • Take calls back-to-back while toggling through several applications on multiple screens. • Attend 100% of trainings and the first 90 days of employment. • Update conversion requests and provide shipment status to members • Facilitate transition of requested medications to home delivery • Advocate for the member patient by placing phone calls, fax or other means to physician’s office to obtain prescriptions and forward to pharmacy for fulfillment • Obtain new prescriptions from physician’s office and record approval status • Service incoming calls from doctors’ offices • Ensure accurate and complete documentation is entered into the appropriate systems for all contacts (internal/external) to maintain the quality of the home delivery process, document HIPAA compliance and reduce potential legal concerns • Resolve questions and/or issues that may be preventing shipment of an order • Uphold quality and productivity standards on all transactions • The customer service representatives must ensure complete and accurate documentation into the appropriate systems to maintain quality and to meet regulatory requirements. • Use active listening skills when the members express concerns about medication coverage or costs and offer the members options for a starting coverage review to meet regulatory requirements • Understand and strive to meet or exceed call center metrics while providing excellent consistent customer service • You will learn and need to demonstrate understanding of call handling which includes compliance expectations and system navigation through several applications • Enjoy a work-from-home lifestyle where you can virtually connect with coworkers and customers. Here’s a little more on how you’ll make a difference: • Help patients understand their pharmacy benefits better. Use the knowledge you gain from training, your problem-solving skills and support from your team answer patient calls effectively. • Help us keep track of our patient interactions. While on calls, use your expert listening skills to get to the heart of a patient’s question quickly and document all interactions in real-time. • Ensure patients are equipped with the best advice. Identify and empathetically address patient concerns and, if necessary, escalate appropriately QUALIFICATIONS • High School diploma or equivalent required • At least 2-3 years of relevant experience- Healthcare and/or Call Center Preferred • A dedicated workspace with no distractions is required • Tech Savvy- Strong computer skills including Microsoft Office • Strong organization skills, written, and verbal communication skills • Ability to provide exceptional listening and customer service skills; remain calm and helpful even when dealing with difficult callers • Ability to adapt in a dynamic work environment, learn quickly, solve problems and make decisions • Foster teamwork and partnership with cross-functional departments to resolve issues and improve customer experience • Ability to work a flexible schedule including Night and/or weekends Schedule/Hours Training Schedule: 7/08/24- 9/06/24, 9:00am - 5:30pm EST Post Training: You will be assigned a shift anywhere between 7:00a - 12:00am EST 7 days a week. 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. 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. Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link