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Customer Service Representative
The Cigna Group. Respond to customers and providers regarding serviced products .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in customer service operations within a call center environment, with a strong focus on documentation accuracy, problem-solving, and maintaining service quality metrics. Proficient in managing multiple tasks efficiently while ensuring compliance with medical coding and billing standards.
Highest-signal resume keywords
Medical Coding And Billing KnowledgeCall Center ExperienceStrong Written And Verbal Communication SkillsAnalytical And Attention To DetailOrganizational And Time Management Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Precertification ProcessingDocumentation SkillsQuality AssuranceCall Statistics Maintenance40 WPM Typing Speed
Soft Skills
Service OrientedProblem SolvingAttention To Detail
Tools & Technologies
MS ApplicationsCall Center Software
Certifications & Qualifications
High School Diploma Or GED
Industry Keywords
Service OperationsHealthcareProvider VerificationThird-Party AdministratorFast-Paced Environment
About the role
Key responsibilities & impact- Respond to customers and providers regarding serviced products
- Maintain call center statistics, including Average Speed of Answer, After Call Work, and Schedule Adherence
- Handle precertification calls from healthcare professionals and Third-Party Administrator clients
- Assist customers with provider verification
- Handle incoming calls for precertification and provider network status
- Document precertification calls appropriately
- Handle incoming fax and mail inquiries regarding precertification or provider status
- Handle web requests and emails from internal and external contacts
- Maintain appropriate audit results, phone states, quality of service, and call protocols
Requirements
What you’ll need- High School diploma or GED required
- 2 to 3 years' experience in a service operations environment, preferably call center environment
- Knowledge of Medical Coding and Billing
- Articulate, service oriented and accurate documentation process skills
- Analytical, attention to detail and quality oriented
- Strong organizational and time management skills
- Strong written and verbal communication skills
- Knowledge of MS applications
- Problem solving skills
- Ability to manage multiple tasks and work under pressure in a fast-paced environment
- 40 WPM
- Home internet through cable broadband or fiber optic service with at least 10 Mbps download and 5 Mbps upload when working remotely
Benefits
Comp & perks- Annual bonus plan eligibility
- Medical, vision, and dental benefits
- Well-being and behavioral health programs
- 401(k)
- Company-paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Remote work arrangement
- Cable broadband or fiber optic internet requirement for home working