Remote Case Management Support - Customer Service at Cigna

Job Summary:

Cigna is seeking a highly motivated and customer-focused professional to join our team as a Remote Case Management Support Specialist. In this role, you will provide critical administrative and operational support to our case management and clinical teams. You will be responsible for coordinating and facilitating services for customers, ensuring seamless communication between all parties, and contributing to improved health outcomes. If you are passionate about customer service and healthcare and excel in a remote work environment, this opportunity is for you.

Key Responsibilities:

  • Support case managers and clinical staff in day-to-day administrative functions.
  • Manage and track member cases, follow-ups, and case documentation in Cignas systems.
  • Act as a liaison between members, providers, and internal departments to resolve inquiries and service issues.
  • Ensure all case information is accurately recorded and maintained in compliance with company and regulatory standards.
  • Assist members with scheduling appointments, understanding care plans, and accessing available health services.
  • Collaborate with clinical teams to ensure timely interventions and case resolution.
  • Provide excellent customer service by addressing member needs and concerns with empathy and professionalism.
  • Maintain confidentiality and security of sensitive member information.
  • Contribute to process improvement initiatives to enhance service delivery.

Required Skills and Qualifications:

  • High school diploma or equivalent; Associates or Bachelors degree preferred.
  • Minimum of 1-2 years of customer service experience, preferably in a healthcare or insurance environment.
  • Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and familiarity with case management software or CRM platforms.
  • Strong verbal and written communication skills.
  • High attention to detail and organizational abilities.
  • Ability to manage multiple priorities in a fast-paced remote setting.
  • Strong problem-solving skills with a customer-first mindset.
  • Knowledge of medical terminology is a plus.

Experience:

  • 1-2 years of professional experience in customer service or administrative support roles.
  • Prior experience supporting clinical or case management teams in healthcare or insurance industries is highly desirable.

Working Hours:

  • Full-time position (40 hours per week)
  • Monday to Friday schedule with standard business hours (flexibility may be required based on business needs)
  • 100% remote/work-from-home role

Knowledge, Skills, and Abilities:

  • Comprehensive understanding of customer service principles and practices.
  • Familiarity with healthcare and insurance processes, including case management workflows.
  • Ability to collaborate effectively in a virtual environment with cross-functional teams.
  • Strong interpersonal skills with the ability to build rapport with members and internal stakeholders.
  • Capacity to handle sensitive and confidential information with discretion.
  • Self-motivated and capable of working independently with minimal supervision.

Benefits:

  • Competitive salary and annual performance-based bonuses.
  • Comprehensive health, dental, and vision insurance.
  • 401(k) with company match.
  • Paid time off (PTO) and paid holidays.
  • Tuition reimbursement and professional development programs.
  • Employee wellness programs and resources.
  • Remote work flexibility with necessary equipment provided.

Why Join Cigna?

At Cigna, we are dedicated to improving the health, well-being, and peace of mind of those we serve. Joining our team means becoming part of a company that values integrity, customer-centricity, and innovation. We foster a culture of inclusion, growth, and collaboration where you can make a real impact on peoples lives while developing your career. If you are ready to work in a mission-driven organization where your contributions matter, Cigna is the place for you.

How to Apply:

Interested candidates are encouraged to apply directly through the Cigna careers portal by submitting a current resume and cover letter. Qualified applicants will be contacted for the next steps in the selection process.

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