The Customer Service Associate Representative provides support to participants, clients, and providers by answering inquiries related to group health benefits and claims payments. The role also includes researching claims, documenting interactions, and assisting team members as needed. Essential Job Functions - Answer telephone calls from plan participants, group contacts, and providers regarding benefits and claims. - Provide clear, accurate, and timely responses to information requests. - Document all calls in Chronolog by summarizing key points of each conversation. - Return messages from designated voicemail boxes. - Read, interpret, and apply plan documents, new amendments, and updates for multiple clients. - Meet with clients as needed to assist with questions about their health benefit plans. - Support team members and cross‑functional partners as requested. - Log faxed claims and enter fax information into Chronolog. - Return misdirected claims to the appropriate provider. - Assist members with navigating the website. - Meet or exceed company standards for quality and production. - Maintain punctual and reliable attendance. - Support claim information research and identification. - Assist with provider record maintenance tasks. - Index claims and correspondence batches. - Complete responsibilities assigned for specific client groups. - Aid in employee training and cross‑training. - Research and prepare refund documentation. Quality Assurance Measurements - Consistently meet or exceed company standards for production, quality, and audit performance. Minimum Education - High school diploma or GED required. Minimum Experience - Basic computer and customer service experience. - Excellent verbal and written communication skills. - Proficiency with PC tools including Windows, Word, and Adobe Acrobat; ability to learn new software. - Minimum typing speed of 45 wpm. - Strong listening skills and attention to detail. - Basic mathematical competency. - High interpersonal skills and the ability to work collaboratively. - Ability to organize and recall large amounts of detailed information. - Capability to read, analyze, and interpret benefit plans, insurance documents, and regulations. - Professional attitude with the ability to project a positive image in all work environments. - Commitment to privacy and confidentiality standards. - Flexibility to work under pressure and meet deadlines. - Strong problem‑solving abilities with professionalism and patience. About Allegiance by Cigna Healthcare Since 1981, Allegiance by Cigna Healthcare has specialized in administering medical benefits, including claims processing, customer service, utilization management, and case management. With a high‑touch approach to member and client service, Allegiance supports some of the nation’s most innovative health benefit strategies. 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 Cigna Healthcare 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. 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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. 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.

At Zotec Partners, our People make it happen. Transforming the healthcare industry isn’t easy. But when you build a team like the one we have, that goal can become a reality. Our accomplishments can’t happen without our extraordinary people – our team members across the country who make up our diverse Zotec family and help make this company a best place to work. Over 25 years ago, we started Zotec with a clear vision, to partner with physicians to simplify the business of healthcare. Today we are more than 900 employees strong and we continue to use our incredible talent and energy to bring that vision to life. We are a team of Innovators, Collaborators and Doers. We’re seeking a Customer Service Representative to join us. This is a remote position. As a remote Customer Service Representative, you will have the opportunity to make a positive impact in patient lives every day, by answering their inbound calls and resolving their billing inquires, all from the comfort of your own home! What you’ll do: - Respond to inbound calls from patients regarding medical bills, insurance coverage, and payment options - Explain billing statements, balances, and payment plans in a clear and compassionate manner - Document interactions accurately in billing and patient management systems - Collaborate with other Zotec Teams to resolve patient concerns - Maintain compliance with HIPAA and company policies at all times - Meet quality, productivity, and customer satisfaction standards What you’ll bring to Zotec: - Experience in a healthcare call center or customer-oriented environment - High school diploma or equivalent - Home internet required with a minimum of 20 mbps download/10 mbps upload speed - Excellent customer service skills required - Ability to understand, analyze and interpret complex documents - Proficient MS Office skills - Must be detail oriented with high degree of accuracy - Excellent written communications and organizational skills - Exceptional verbal communication and interpersonal skills - Flexible mentality; willing and capable of performing varied tasks and adapting to change - Able to work in a team environment - Professionally exercises discretion and independent judgment in day-to-day work At Zotec, you will enjoy a network of highly experienced professionals in an environment where you can operate with autonomy yet have the resources and backing of other professionals in a similar role. Entrepreneurial and enterprising is the spirit of our team. If you are an original thinker and opportunity seeker, we'd like to talk to you! Learn more about our organization, by visiting us at www.zotecpartners.com E-Verify and Equal Opportunity Employer

• Provides leadership and support to the Caregivers in Customer Service. • Assists with the coordination of service for workloads and scheduling. • Interacts with internal and external partners to provide information and resolve billing and service inquiries for care provided at our Care Sites and Clinics. • Resolves escalations from patients and internal partners. • Assist with scheduling and ensuring proper coverage of functions supported. • Resolves technical and access issues encountered by Caregivers and determines when an escalation to the IT Help Desk is required.

Customer Service Representative  Location: "United States” Employment Type: “Full-time” Supporting: “Customer Care” About Us  We're the largest minority-owned CX provider, delivering digital-first, people-centered experiences for some of the world's most respected brands. For over 25 years, we've been helping businesses solve their toughest customer experience challenges—and we do it better than anyone else. As a Top Place to Work, we're serious about creating an environment where people show up as their genuine selves. Which means when you succeed, we all do. Here's What the Job Really Looks Like You're a natural problem-solver who's good with people. You know how to listen to what someone's really asking for (not just what they're saying), and you can explain solutions in a way that makes sense. You stay calm under pressure, you're detail-oriented enough to keep information accurate, and you genuinely care about leaving customers better off than when they reached out. If that sounds like you, this role is a great fit. How You'll Make an Impact - Guide customers through questions, concerns, or challenges they encounter while using the product or service  - Listen actively to understand the root of the issue and provide clear, effective solutions  - Record detailed call information for auditing, reporting, and follow-up purposes  - Maintain and update customer records to ensure accurate and current information  - Identify opportunities to introduce customers to new or enhanced services that meet their needs  - Provide recommendations and guidance in a way that adds value and enhances the overall customer experience At Alorica, we only do one thing – make lives better, one interaction at a time. We’re a global leader in customer service and experience, serving the world’s biggest brands with tens of thousands of employees in hundreds of locations around the globe. Every day, we aim to live up to our mission of creating insanely great customer experiences. But as Alorica employees, giving back matters just as much – that’s why we’re so proud of Making Lives Better with Alorica, a non-profit, 501(c)(3) organization dedicated to providing assistance to employees, their families and the people, organizations and communities who support them. Simply put, we want to make lives better…one interaction at a time. And to do that, we need the very best people to join us. At Alorica, we’re all about putting our team members on a passionate, rewarding career path—and we work hard to craft an insanely great work environment for our colleagues. A place where you can be yourself. Where you can work hard and play hard. Where you can get involved in the community. And where doing the right thing—and taking care of one another—is an integral part of who we are.