Dedicated Client Service Partner - MD/VA/DC - Onsite
The Cigna Group
**Role Summary**
The Dedicated Client Service Partner coordinates with the Client/Account Management team to ensure client needs are met, potential problems are averted, and to ensure we continue to provide solutions to the client that exceed service expectations to access care. A key focus of this role is building trust with the client (onsite and/or virtually) to assist their employees and retiree population in getting optimal care at the right time and in the right setting; thereby reducing their costs and the costs to the plan.
**This onsite position is required to be onsite in Fairfax, VA, Washington, DC or the Baltimore, MD area.**
**Duties and Responsibilities:**
+ Deliver hands-on, dedicated, personalized support to the Client, their employees, retirees, and the Human Resources team.
+ Service customers across all medical platforms and products (as well as pharmacy, dental, and behavioral health, as needed) regarding their purchased product and services.
+ Respond to, own, and assist with escalated, complex issues and inquiries from the Client’s benefits delivery team and/or the employees, including, but not limited to complex claim inquiries, service issues, provider authorizations, employee eligibility, billing, denials, appeals, incentive issues, and installation matters.
+ Conduct on-site presentations for new hire, active, retiree, and/or prospective customers during open enrollment meeting and/or benefits fair to educate and inform of plan offerings.
+ Interact with provider offices to respond to employee billing issues, access to services, etc.
+ Partner with internal Cigna matrix partners on global service issues impacting the Client and customer.
+ Keeps client manager informed of account status and opportunities for expanded business.
+ Maintain knowledge and expertise in all products, programs, services and enrollment activity. Effectively articulate and demonstrate Cigna's capabilities and tools in the marketplace.
+ Achieve the team business plan objectives, both in support of the implementation of new plans and in identifying and responding to customer inquiries regarding plan benefits.
+ Manage resolution in a timely manner and provide status to all appropriate parties when resolved.
+ Review claim reports and analyze data and trends. Provide sales team with monthly proclaim CMS ticket closure information. Compile monthly service reporting based on client needs/requests.
+ Navigate multiple Cigna systems including client self-service portals, claim systems, and tracking systems.
+ Process customer requests including ID card requests, certificate of credible coverage, pharmacy overrides and student status requests.
+ Drive customer engagement in Health Advocacy programs.
+ Participate in Broker/Community activities to promote Cigna.
**Qualifications:**
+ High School Diploma or GED required, advanced degree helpful.
+ 3+ years' experience in account management, customer service, or health engagement, or claims related area preferred.
+ 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.
+ 2+ years' experience with multiple software and system-based applications, including database and spreadsheets (Word, Excel, and PowerPoint, tracking systems) preferred.
+ Excellent communication skills both verbally and in writing.
+ Ability to work respectfully with people at all levels.
+ Ability to be successful in a fast-paced and high-volume production environment.
+ Self-starter; able to work independently to get results.
+ 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.
For this position, we anticipate offering an annual salary of 55,300 - 92,100 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
**About The Cigna Group**
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re 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:_ _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._
_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._
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