Eligibility Senior Representative

3 weeks ago


Orlando, Florida, United States The Cigna Group Full time
Job Summary

We are seeking a highly skilled Eligibility Senior Representative to join our team at The Cigna Group. As an Eligibility Senior Representative, you will be responsible for delivering specific delegated Eligibility tasks assigned by a supervisor. This includes implementing, updating, and maintaining automated, direct connect and/or manual eligibility data. You will also handle National Accounts or more complex accounts, reconcile accounts for non-standard requests, and provide technical support for the electronic processing of eligibility.

Key Responsibilities

  • Delivers specific delegated Eligibility tasks assigned by a supervisor.
  • Implements, updates, and maintains automated, direct connect and/or manual eligibility data.
  • Handles National Accounts or more complex accounts.
  • Reconciles accounts for non-standard requests.
  • Provides technical support for the electronic processing of eligibility.

Requirements

  • High school diploma or GED required, bachelor's degree preferred.
  • Minimum of 3 years of relevant working experience.
  • Healthcare experience with medical insurance knowledge and terminology.
  • Intermediate data entry skills and working knowledge of Microsoft Office.
  • Excellent phone presentation and communication skills.
  • Demonstrated ability to handle professionally challenging customers.
  • Ability to adapt in a dynamic work environment and make decisions with minimal supervision.

Working Conditions

The Eligibility Senior Representative will work at home occasionally or permanently, and 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.



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