Role Summary
In the Premium or Enrollment Representative role, you will be responsible for providing world class customer service to our clients. You will interact regularly with internal and external customers and partners (brokers, third party vendors) as it relates to client invoicing, account reconciliation and collections or enrolling customers. This role requires analyzing client data to reconcile and resolve discrepancies or with data entry to enroll customers to specific benefits.
Responsibilities/Core Functions
- Manage assigned portfolio of client accounts
- Enroll customers in to applicable systems
- Perform tasks related to collections processes and procedures
- Perform tasks related to review of client AR for preparation of necessary adjustments/disbursements to submit to processing team
- Research/respond to billing or payment inquiries within established turnaround times. Escalate issues as needed.
- Work with third party administrators, brokers and/or clients directly to reconcile accounts receivable
- Extensive research related to member eligibility and rate variances
- Prepare necessary adjustments to resolve member level discrepancies identified in reconciliation process
- Build effective relationships with internal and external partners
- Handle special billing or report requests
- Analyze client data utilizing various reports and resources
- Prepare and distribute Schedule A & C tax forms
- Coordinate various activities to ensure compliance with tax regulations
Competencies
- Action Oriented
- Customer Focus
- Cross-Cultural Sensitivity
- Client/Peer Relationships
- Drive for Results
- Learning on the Fly
- Organizing
- Perseverance
- Priority Setting
- Problem Solving
- Time Management
Qualifications/Requirements
- Previous work experience in a fast-paced business environment
- Accounts Receivable experience a plus
- High School degree required; bachelor's degree preferred
- High level of initiative
- Ability to handle complex, difficult or escalated issues highly preferred
- Excellent organizational aptitude and high attention to detail
- Demonstrates responsiveness and a sense of urgency when dealing with internal and external clients highly preferred
- Team player with effective verbal and written communication skills highly preferred
- Strong analytical and problem-solving skills highly preferred
- Ability to multitask and prioritize workload
- Microsoft Office with intermediate Excel and Access knowledge (V-Look up proficiency, pivot tables and formulas) highly preferred
About The Cigna Group
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.
