Dedicated Client Service Partner - Hybrid - Cigna Healthcare - Wilson, NC
Dedicated Client Service Partner - Hybrid - Cigna Healthcare - Wilson, NC
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1 Vacancy
Job Description
Excited to grow your career
We value our talented employees and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think this position is right for you we encourage you to apply!
Our people make all the difference in our success.
**Implementation and Service Proclaim Choice Fund PMHS Dental
How youll make a difference:
As the Dedicated Client Service Partner you will be an extension of the Cigna Account Management team. You have a critical role in applying your relationship management skills to develop a partnership with a key client as a Dedicated Client Service Partner. In this position you will bring key insights and program delivery opportunities to the Account Management Team.
This position requires client site attendance at The City of Wilson in North Carolina up to 5 days per week with some opportunity for virtual support.
RESPONSIBILITIES:
Interact with internal/external customers and business partners in a professional manner (includes verbal and written interactions).
Own any customer issue that is brought to the table for resolution by client. Manage resolutions in a timely manner and provide status to all appropriate parties when resolved including a summary of root cause countermeasures and next steps.
Keep the account team updated on any identified trends or client interaction that should be escalated or communicated.
Provide education and guidance about programs and resources available as part of the Clients benefit plans including wellness and discount programs health savings account and pharmacy.
Deliver lunch and learn sessions on Cignas programs and services offered and/or meet with Employee Services team periodically to train and answer questions related to trending issues and/or provide updates to the team on Cigna processes/products.
Assist in arranging case manager (or other appropriate Cigna resource) for customers with complicated medical conditions or technical/non-clinical needs
Research analyze and track customer call/claim inquiries from employees. Communicate outcome and next steps directly to employees with cc to employees HR when appropriate.
Handle transactional tasks (customer/provider outreach calls create out-of-pocket ledgers etc).
Pull claim reports and analyze data and trends.
Navigate multiple Cigna systems including client self-service portals claim systems and tracking systems.
Compile monthly service reporting based on client needs/requests.
Establish and maintain deep connections with the OneGuide team in order to delegate issues appropriately but also to maintain a feedback loop to report status back to the employee and or HR in a timely clear and accurate manner.
QUALIFICATIONS:
High School Diploma or GED required advanced degree helpful.
3 years proficient knowledge in health care / benefits / managed care business; to include many or all of the following: product knowledge underwriting risk and financial analysis skills marketing processes sales practices account management and knowledge of administrative operations highly preferred.
3 years strong experience in account management customer service or health engagement or claims related area preferred.
Client facing experience highly preferred.
2 years experience with multiple software and system-based applications including database and spreadsheets (Word Excel and PowerPoint tracking systems) preferred.
Demonstrated strength and ability to interface with and influence key decision makers/clients through use of negotiation skills dealing with ambiguity and conflict management.
Strong analytical ability with ability to design track and work toward specific measurable performance targets for self and team.
Ability to manage multiple and divergent priorities and deadlines work independently and pro-actively negotiate and manage expectations for mutually acceptable solutions and creatively solve effective customer solutions.
2 years of experience delivering customer/producer communications.
Ability to quickly understand the customers needs and expectations.
Ability to pivot seamlessly from customer interaction to client level updates and communication/coordination.
Candidate must meet travel requirements for this role.
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.
About The Cigna Group
Doing something meaningful starts with a simple decision a commitment to changing lives. At The Cigna Group were 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 status with regard to public assistance citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama Alaska Arizona Arkansas Delaware Florida Georgia Hawaii Idaho Iowa Kansas Maryland Massachusetts Michigan Nebraska Ohio Pennsylvania Texas Utah Vermont and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances.
Employment Type
Full-Time
