Eligibility Representative at Cigna Healthcare

Bengaluru, karnataka, India -

Full Time

Start Date

Immediate

Expiry Date

31 Jan, 26

Salary

0.0

Posted On

02 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Data Entry, Customer Focus, Problem Solving, Attention To Detail, Analytical Skills, Communication Skills, Microsoft Office, Time Management, Organizing, Learning, Cross-Cultural Sensitivity, Action Oriented, Drive For Results, Priority Setting

Industry

Hospitals and Health Care

Description

Enrollment Representative Job Description (Job Code: P01044) Role Summary The Enrollment Representative is responsible for processing requests from clients to set up or update customer information/manual eligibility data requests both manually and electronically. This involves both data entry and updating existing electronic eligibility and online enrollment (OLE) accounts. This position is critical role in providing high quality and accurate results as the data entry provides ID cards and benefit coverage to Cigna customers. Responsibilities Process inbound client requests to enroll new membership, make edits to existing or process terminations to existing membership Process transactions on fallout reports using specific work instructions for each of the various reports Perform research to identify and resolve inconsistencies in eligibility data through individual analysis Assist in the client set up for electronic eligibility and online enrollment tools, following specific work instructions and guidelines provided by internal resources Assist with testing as needed; input enrollment in to test environment and process enrollment examples and provide input during testing on the outcome Additional responsibilities as assigned Expectations Assess the inbound request/files and complete the data entry into Diamond following work instructions with accuracy and speed Conduct Iteam loads, MTRs, and BOTS to assist with OLE and Electronic eligibility needs Process MBA enrollments at point of VOB/GOP submission Assist with Middle East enrollment as identified Load and test enrollments per examples provided in test/UAT environment Communicate with all necessary internal and external business partners in a professional manner in a variety of communication styles (i.e. e-mail, telephone, Webex meetings, etc.) Competencies: Action Oriented Customer Focus Cross-Cultural Sensitivity Drive for Results Learning on the Fly Organizing Priority Setting Problem Solving Time Management Qualifications High School Diploma or GED required. Bachelor’s Degree preferred 2+ years’ experience in with US or International healthcare Strong Written and verbal communications skills Previous work experience in a fast-paced business environment High Attention to detail Demonstrated ability to consistently meet and exceed performance metrics such as productivity and quality Adept computer skills, with experience navigating multiple systems to complete a single task Intermediate to advanced skills using Microsoft Office products, specifically Excel and Outlook (V-Look up proficiency, pivot tables, formulas) Strong Analytical Skills and problem solving skills Ability to Learn Quickly About The Cigna Group Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Responsibilities

The Enrollment Representative processes client requests to set up or update customer information and eligibility data. This role is critical for providing accurate results that lead to ID cards and benefit coverage for Cigna customers.