[Remote] Customer Service Representative

Note: The job is a remote job and is open to candidates in USA. The Cigna Group is a global leader in health services, and they are seeking a Customer Service Representative to support their operations. This role involves delivering delegated technical and administrative tasks, resolving non-routine issues, and ensuring optimal client experience through effective communication and operational efficiency.

Responsibilities

• Delivers specific delegated technical, administrative, or operative tasks assigned by a supervisor
• Participate in preparing and reviewing statements and document related to business operations / Finance Operations
• Assists in the production levels and effective processing controls and related reporting in accordance with established procedures
• Completes day-to-day tasks without immediate supervision but has ready access to advice from more experienced team members
• Tasks involve a degree of forward planning and anticipation of needs/issues
• Resolves non-routine issues escalated from more junior team members
• Administrators: responsible for contributing to day-to-day function to include but not limited to ensuring optimal client experience, communication with multiple departments, prescriber office outreach, measuring and reporting outcomes
• Subject matter expert on product processes available to answer team's clarifying questions
• Identifies areas of opportunity for operational efficiencies to ensure optimal team performance
• Supporting departmental projects
• Resolve non-routine issues escalated from junior team members
• Day-to-day operational functions related to assigned product
• Coordination of clinical interventions to include reviewing and sorting progress notes and clinical documents, coordinating assignment with clinical pharmacist, and audit of document formatting for accuracy before delivery to prescribers’ office
• Contacts prescriber offices to gather information, coordinate delivery of intervention documentation, and schedule teleconferences between prescriber and clinical pharmacist
• Responds to inquiries or requests regarding additional information from clients, different departments, and/or others for information and assistance

Skills

• High School Diploma OR GED Required
• Pharmacy Tech Certification OR Registered Pharmacy Technician, strongly preferred
• (or 2+ years' relevant Pharmacy Technician experience)
• Experience in managed care, pharmacy technician or workers' compensation claims, strongly requested
• Customer Service
• Communication
• Organization and time management
• Attention to detail
• MS Office Products
• Data entry
• Communicates Effectively
• Technically Savvy
• Delivery Focused: Action Oriented
• Pharmacy Tech Certification OR Registered Pharmacy Technician, strongly preferred
• (or 2+ years' relevant Pharmacy Technician experience)

Benefits

• Medical
• Dental
• Vision
• 401K (provided minimum eligibility hours are met)

Company Overview