• Kundenbetreuung im Bereich KFZ-Versicherung • Kompetente Bearbeitung aller Anfragen im Kundenservice • Steigerung der Kundenzufriedenheit

Role Description 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. Qualifications - High school diploma or GED required. - 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. Benefits - Hourly rate of 17.75 - 19 USD / hourly, depending on relevant factors, including experience and geographic location. - Eligibility to participate in an annual bonus plan. - Comprehensive range of benefits, including medical, vision, dental, and well-being and behavioral health programs. - 401(k) plan. - Company paid life insurance. - Tuition reimbursement. - A minimum of 18 days of paid time off per year and paid holidays.

Role Description In this exciting and challenging role as a Customer Service Senior Representative, you will be working within the fast-paced environment of the Central Nursing Team. As a first line of contact, this role will independently assist both internal and external clients within scope by clarifying and researching desired information and resolving non-clinical problems. Schedule: Monday-Friday 8am-5pm EST What you’ll do: - Work with Nurse Managers/Supervisors, field staff, and patients to schedule visits for home infusion within a region of branches. - Complete all nurse assignments for patients, reschedules visits based on patient availability, staff new patients with appropriate nurses, and proactively monitors all patient appointments to confirm accuracy. - Work with pharmacy, reimbursement, and nursing departments as coordinator for nursing referrals while providing great customer service. - Work with various staff, departments, and prescribers via fax, email, IM, and phone. - Monitor both personal email as well as nursing mailboxes for follow up needed, prioritizing by ask. - Manipulate multiple Excel documents to determine what needs to be completed and urgency of completion. - Respond timely to inquiries from patients, field staff, and other departments for information and assistance regarding nursing and patient referrals and schedules. - Investigate/research issues and provide resolution. - Take initiative for problem solving with ability to multitask effectively and use critical thinking. - Correct and timely entry of data in appropriate systems. Qualifications - High School education or GED required. - 5+ years of relevant Customer Service experience. - High proficiency and regular use of Excel and Outlook required. - A pro-active work ethic with ability to be managed/trained virtually. - Be detail oriented. - Excellent written and oral professional communication skills. - Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make independent decisions. - 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. Company Description Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

• Mentor a team of 15–18 Insurance Professionals, providing feedback, coaching, and accountability. • Monitor KPIs and address gaps proactively while recognizing strong performance. • Oversee schedules, workload distribution, and real-time performance. • Serve as the point of contact for escalations, ensuring rapid resolution and reinforcement of best practices. • Partner with leadership, Workforce Management, and Training to plan staffing, scheduling, and development strategies. • Identify opportunities to enhance efficiency, service, and team experience. • Foster an inclusive, supportive, and motivating environment. • Lead team meetings and facilitate effective virtual communication. • Work closely with HR, Talent Acquisition, and cross-functional leaders on recruiting, onboarding, retention, and performance management. • Support department initiatives, special projects, and change management activities as assigned.