Eligibility Senior Representative - Remote

RESPONSIBILITIES:

• Research, analyze and process routine eligibility inquiries and DES for employers/brokers and internal partners.

• Communicate outcome and next steps if applicable.

• Service customers across in the Facets platform.

• Interact with internal/external customers and business partners in a professional manner (includes verbal and written interactions).

• Handle transactional tasks.

• Manage resolution in a timely manner and provide status to all appropriate parties when resolved.

• Navigate via multiple Cigna systems including Facets, client self-service portals and Onbase.

• Upload and Complete eligibility via a macro process called DES and provide outcome of the upload which includes fallout, membership and any discrepancy or clarification requirement to ensure accuracy in eligibility submission to Facets.

QUALIFICATIONS:

• High School Diploma or GED. Bachelor’s degree preferred.

• 1+ year Facet Eligibility, Call or Claim experience required.

• Ability to quickly understand the customer’s needs and expectations.

• Demonstrated time management skills.

• Detail oriented and ability to effectively problem-solve issues to resolution.

• 2+ years experience with multiple software and system-based applications, including database and spreadsheets (Word, Excel, tracking systems).

• Strong verbal/written communication and organizational skills to effectively communicate and interact with all levels and functions within the organization.

• Ability to manage multiple and divergent priorities and deadlines, work independently and proactively, negotiate and manage expectations for mutually acceptable solutions.

• MOS Background preferred.

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 The Cigna Group

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.