Vacancy caducado!
It's fun to work in a company where people truly BELIEVE in what they are doing!We're committed to bringing passion and customer focus to the business.Responsibilities:
Manage the selection, hiring, training, development, performance assessments and disciplinary actions and coaching for staff.
Provide direction regarding overall objectives and assignments to assigned team.
Provide direction to staff for complex/sensitive member and provider inquiries, concerns, complaints, appeals, and grievances.
Develop and manage relationships with direct reports
Monitor individual and team internal metrics
Support 7 day week call operations
Monitor performance guarantee results as required
Proactively orients all employees.
Identifies customer needs and responds to inquiries with knowledgeable and timely responses
Ensures timely execution of compliance with Cigna standards for all customer types.
Identifies staff education opportunities and provides proactive training on a continuous basis.
Manages and promotes customer satisfaction.
Proactively manages the service requirements of the enterprise.
Identifies network gaps and recruits qualified employees in accordance with network needs.
Leads and provides oversight to projects or process improvement initiatives
Creates strong working relationships with the internal departments involved in claim and call resolution, contract load, and claims audit activities, and monitoring these activities
Serves as CIGNA advocate in external community.
Facilitate appropriate meeting participation and follow up activities.
Facilitates education and discussion on products, quality initiatives, etc. as identified
Qualifications:
HS Diploma required
Bachelor’s Degree strongly preferred
A minimum of 2 to 5 years of experience in Service Operations in a call center environment
Understanding of medical insurance products and associated customer issues, Medicare experience a plus
At least 1-2 years of previous management or team lead experience required
Inventory management experience preferred
Experience communicating with providers a plus.
Customer service experience required, claims experience preferred
Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills.
Strong proficiency in MS Office and the ability to learn new software systems quickly
Qualified applicants will be considered without regard to race, color, age, disability, sex (including pregnancy), childbirth 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 an accommodation based on your physical or mental disability please email: [email protected]. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.We’re a global health service company dedicated to helping people improve their health, well-being and sense of security. We offer an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products that serve over 95 million customers around the world. When you work with us, you’ll enjoy a different kind of career - you’ll make a difference, learn a ton, and change the way people think about health insurance. To see our culture in action, search #TeamCigna on Twitter or Instagram.
Vacancy caducado!