Job Summary

Cigna is a global health service company dedicated to improving the health, well-being, and peace of mind of those we serve. We are currently seeking an empathetic, customer-focused, and detail-oriented Member Services Representative to join our dynamic remote team. In this role, you will be the first point of contact for our valued members, providing critical support and solutions to their healthcare-related inquiries. If you are passionate about delivering world-class customer service and want to be part of a purpose-driven organization, this opportunity is for you.

Key Responsibilities

• Respond to inbound inquiries from members regarding benefits, claims, provider information, and other health-related concerns via phone, email, and chat.
• Guide members through Cignas products, policies, and services, ensuring accurate and helpful information is provided at every interaction.
• Proactively identify member needs and offer appropriate solutions or escalate complex cases to specialized teams when necessary.
• Collaborate with internal departments, including clinical teams and claims processing units, to resolve member issues efficiently.
• Maintain comprehensive records of customer interactions and actions taken using Cignas CRM system.
• Adhere to Cignas policies, regulatory compliance requirements, and service quality standards.
• Meet and exceed key performance indicators such as customer satisfaction, call resolution, and productivity metrics.
• Continuously seek to enhance knowledge of Cignas services and products through training and professional development.

Required Skills and Qualifications

• High School diploma or equivalent; Bachelors degree preferred.
• Strong communication skills with the ability to convey information clearly and empathetically.
• Excellent problem-solving abilities and critical thinking skills.
• Ability to multitask and prioritize in a fast-paced remote work environment.
• Proficiency with basic computer applications including Microsoft Office Suite and CRM systems.
• Bilingual (English/Spanish) is a plus.

Experience

• 1-3 years of experience in customer service, call center, or healthcare support roles preferred.
• Experience in health insurance, managed care, or a healthcare-related industry is highly advantageous.
• Familiarity with HIPAA and other healthcare regulations is a strong asset.

Working Hours

• Full-time, 40 hours per week.
• Must be available to work a flexible schedule, including occasional evenings, weekends, or holidays based on business needs.
• Remote work with necessary tools and technology provided by Cigna.

Knowledge, Skills, and Abilities

• Deep understanding of health insurance products and services or a willingness to learn quickly.
• Ability to demonstrate empathy and patience when dealing with members who may be experiencing challenging health situations.
• Strong attention to detail, accuracy, and organizational skills.
• Ability to work independently in a remote setting while contributing to a collaborative team environment.
• Commitment to maintaining confidentiality and handling sensitive information responsibly.

Benefits

• Competitive salary and performance-based incentives.
• Comprehensive health, dental, and vision insurance from day one.
• Generous paid time off, including holidays, vacation, and sick leave.
• 401(k) plan with company match.
• Tuition reimbursement and continuous learning opportunities.
• Employee wellness programs and resources.
• Remote work flexibility and a healthy work-life balance.

Why Join Cigna?

At Cigna, we are driven by a powerful mission: to improve the health and vitality of those we serve. As a Member Services Representative, you will play a crucial role in making healthcare more accessible and understandable for our members. You will join a supportive and inclusive work culture where your contributions are valued, and your growth is encouraged. Whether you are looking to advance your career in healthcare services or make a difference in peoples lives, Cigna offers you a place to do both.

How to Apply

Ready to make a difference with Cigna? Please submit your application online via our careers page and include your resume and cover letter. Qualified candidates will be contacted for an initial interview.