Responsibilities:

• Respond to customer inquiries, solve problems, and ensure client satisfaction with products and service.
• Service customers across all medical platforms and products (as well as pharmacy, dental, and behavioral health, as needed).
• Engage and provide employee communication/health/wellness strategies to customers regarding their purchased product and services.
• Conduct on-site presentations for new hire, active and retiree open enrollment, benefits fair to existing and prospective customers to educate and inform of plan offerings.
• Interact with internal/external customers and business partners (to best service client, partner on health and wellness activities) with a strong customer service focus
• Maintain knowledge and expertise in all products, programs, services and enrollment activity. Effectively articulate and demonstrate Cigna's capabilities and tools in the marketplace.
• Develop and implement membership engagement programs; leverages resources to fulfill  engagement needs, offers creative and effective solutions to drive optimal client outcomes
• Collaborates with the CM and matrix partners on renewal activities, to include RFP involvement, geo access reporting/analysis, etc.
• Manage client membership engagement budget as needed
• Educate and engage customers, by explaining the benefits of the programs that the account offers.
• Respond to customer inquiries including service issues/questions, eligibility/claims issues, billing questions and installation matters, customer/provider outreach calls, create out-of-pocket ledgers, etc.
• Achieve the team business plan objectives, both in support of the implementation of new plans and in identifying and responding to customer inquiries regarding plan benefits.
• Attend client meetings and works as a proxy for the CM as needed
• Manage resolution in a timely manner and provide status to all appropriate parties when resolved.
• Review claim reports and analyze data and trends. Provide sales team with monthly proclaim CMS ticket closure information.  Compile monthly service reporting based on client needs/requests.
• Navigate multiple Cigna systems including client self-service portals, claim systems, and tracking systems.
• Completes day-to-day tasks without immediate supervision, but has ready access to advice from more experienced team members.
• Drive customer engagement in Health Advocacy programs.
• Participate in Client activities to promote Cigna.

Qualifications:

• Bachelor’s Degree preferred or 5+ years equivalent related experience
• Understanding of Taft-Hartley and/or Federal Business preferred
• Proficient knowledge (min 3-5 years) in health care / managed care business to include many or all of the following: product knowledge, sales practices, account management and knowledge of administrative operations
• Preferred minimum two years’ experience with multiple software and system-based applications, including database and spreadsheets (Word, Excel, PowerPoint, tracking systems).
• Ability to make quality decisions
• Strong verbal and written communication skills
• Ability to be successful in a fast-paced and high-volume production environment.
• Excellent communication skills; exhibits courage.
• Demonstrated planning/organizational skills; ability to plan for both the long and short term; ability to work on many issues at once and to prioritize work 
• Demonstrated ability to develop strong working relationships with both external clients/brokers and matrix partners in the organization; ability to leverage matrix resources to drive deliverables
• Can work independently
• Must obtain necessary licenses

This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite. 

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.