Customer Service Representative - Remote

SUMMARY
The Cigna Group is a global H ealth Service c ompany dedicated to helping people improve their health and vitalit y. 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.
In the Cigna Coverage Review Department call center, you will be working on prior authorizations. Prior authorization refers to a process that is used to determine if a prescribed procedure, service, or medication is covered by a member’s current health plan.
RESPONSIBILITIES
• Receive inbound calls from Doctor’s offices or Pharmacies who are calling to request for a drug to be covered by The Cigna Group
• Conduct the initial screening of requests based on guidance given by online prior authorization tools. If the data collected meets the approval specifications, you will approve the request.
If requests do not meet the approval specifications, you will refer to a pharmacist for clinical review
• An average of 10-30 calls are expected daily, but this number could increase during busy seasons
• Use 5 systems daily to complete your work which you will be trained on
• Attend 100% of trainings and the first 90 days of employment
• Enjoy a work-from-home lifestyle where you can virtually connect with coworkers and customers.
QUALIFICATIONS
• High School diploma or equivalent
• Generally, has 1-5 years of call center and customer service experience
• A dedicated workspace with no distractions is required
• Must have competent computer skills, be familiar with Microsoft office and have a working knowledge of Windows operating system
• Strong organization skills, written, and verbal communication skills
• Ability to remain calm and helpful even w hen dealing with difficult situations
• Excellent interpersonal communication, attention to detail, critical thinking skills are essential
• Must be able to work any schedule given between 8 : 00am 9 : 00pm Eastern Monday through Friday. P ermanent shifts will be provided before the end of class
• Training Schedule is 9 : 00 am 5 : 3 0 pm Monday through Friday for 4 weeks and on the job training will follow the same schedule.
OJT is typically 2 weeks
• Flexibility to support extended hours and overtime as determined by business needs to meet customer expectations. 3 days ago

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