69 applicants

This job has closed.

Company

Original Job Post

Cigna Healthcare · 4 days ago

Operations Research Specialist

United States

Full-time

Remote

Mid Level

$23/hr - $35/hr

3+ years exp

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Insider Connection @Cigna Healthcare

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Responsibilities

Support intake queue for customer issues; ensuring all intake requests are tracked, prioritized, documented, resolved and loop closed with customer

Manage assigned workload tasks

Provide support on complex/sensitive customer issues, concerns, and complaints

Monitor and adhere to highly regulated turnaround and processing requirements

Timely and accurate compliance with all disclosure requirements and root cause reporting/analysis/actions

Participate in projects for customer process improvement initiatives

Meet regulatory turnaround requirements for response on customer issues

Identify customer needs and solutions and follow up with outreach to customers

Assist in promoting customer satisfaction

Identify gaps in processes

Participate in projects for customer process improvement initiatives

Assist other team members with questions and potentially act as a SME for IFP Operations

Create strong working relationships with matrix partners.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Healthcare insuranceCigna ifpAffordable care actFederal exchangeComputer skillsMs officeMedical facetsOneviewOvertime managementProblem solvingCommunicationFlexibilityInternet Connection Setup

Required

At least 3 years of Healthcare insurance business experience (such as Benefits, Eligibility, Claims, Call or Sales)

Experience with Cigna IFP and/or solid understanding of the Affordable Care Act and the Federal Exchange highly desired

Ability to function in a fast-paced environment and prioritize multiple tasks under tight deadlines

Demonstrates agility to change course based on business needs

Excellent oral and written communication skills

Demonstrates strong analytical abilities in decision making and problem solving

Exhibits ability to utilize technical skills and resources to ensure accuracy

Strong computer skills required and proficiency in MS Office products

Proficiency in Medical Facets and Oneview highly desired

Flexibility with overtime and PTO hours during peak periods

Preferred

Experience with Cigna IFP and/or solid understanding of the Affordable Care Act and the Federal Exchange highly desired

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.