Eligibility Senior Representative - Remote

The Cigna Group is hiring an Eligibility Senior Representative for Individual and Family plans (IFP). This role will be responsible for implementing, updating and maintaining electronic and manual eligibility data in the core systems. You would also be accountable for identifying any file formatting or data integrity errors, identifying process improvement opportunities for eligibility, and partnering with internal and external partners and vendors to create a positive customer experience. You may provide or facilitate limited technical support for electronic processing of eligibility and may work with internal partners to provide expertise and resolve file errors.

What you'll do:

• Reconciliation of eligibility between various eligibility source systems

• Interacts with internal and/or external partners on and offshore

• Takes individual ownership to identifier barriers and areas of opportunities

• May be assigned as a Subject Matter Expert (SME) for projects involving Eligibility and/or Electronic Enrollment

• Accountable for identifying file formatting or data integrity errors and working with the business leads for resolution

• Appropriately use DPL (Daily Production Log) as part of MOS (Management Operating System)

• Support cross functional activities to help with capacity shortages, this includes learning and adapting to the team’s need and capacity availability

Requirements:

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

• 2+ years of Individual Family Plan (IFP) or Group Plan Eligibility experience, highly preferred

• Centralized Eligibility Database, (CED) and/or Facets experience, preferred

• Technical ability with Microsoft Office products (i.e. Outlook, Word, etc.), required

• Intermediate skills with Excel, including, V-lookups, pivot tables, etc. and navigating multiple systems platforms, highly preferred

• High level of written and oral communication skills

• Demonstrated ability to learn and apply knowledge quickly while utilizing perseverance and customer-centric approaches in day-to-day work

• Ability to work independently with limited supervision and in a team environment

• Ability to manage multiple priorities simultaneously

If you will be working at home occasionally or permanently, 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.

For this position, we anticipate offering an hourly rate of 19 - 28 USD / hourly, depending on relevant factors, including experience and geographic location.

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

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.

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, st