Case Management Analyst (Complex) job vacancy in Cigna (Pennsylvania)

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Company name : Cigna
Location : Pennsylvania
Position : Case Management Analyst (Complex)

Description :
***This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.***

Work Schedule: Rotating shift that will fall between core business hours of Mon-Fri 8:00am-8:00pm EST
The Case Management Analyst enhances the operational efficiency of the Case Management team and ensures customer satisfaction by providing accurate information to Cigna’s internal, and external matrix partners. The Case Management Analyst is expected to demonstrate effective communication through courtesy, and professionalism in all interactions, both internally and externally.

MAJOR DUTIES:
Communicates professionally with customers, healthcare providers, insurance community and specialists to provide and verify information, explain processes, and answer questions regarding products, benefits and services. Duties include but are not limited to the following:
Perform outbound calls to facilities to obtain additional information needed to respond to the case management inquiries.
Access the various Cigna systems to obtain requested information such as eligibility, benefits, demographic information, discharge and clinical information, available customer programs.
Provide accurate information based on an understanding of customer and service requirements.
Determine the course of action for each request based on existing workflows.
May redirect or forward requests to the appropriate department by following established guidelines.
May provide support to the other members of the team.
Perform general administrative duties such as preparing reports as requested, assist other team members as needed, and perform other duties as assigned.

QUALIFICATIONS:
High school diploma or GED
Excellent telecommunications and customer services skills
Prior experience in customer service role/operation.
Prior experience in supporting licensed medical and clinical staff preferred.
Prior experience in managed care/healthcare environment ideal.
Proven data entry skills
Ability to multi-task and prioritize tasks appropriately.
Proficient knowledge and understanding of Microsoft Office products.
Working knowledge of automated systems/telephone systems.
About Cigna
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?
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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
Cigna 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.

Disclaimer : all data is sourced from indeed and we are not responsible for any error

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