The Account Installation Senior Representative processes Facets Call and Claim Ready benefit installation for new and existing client accounts. Client benefit elections are analyzed using implementation materials and Case Installation Tool (CIT). This role is responsible for reviewing, coding benefits, and ensuring compliance to required mandated legislation.
Responsibilities:
Attain and develop proficiencies with end-to-end Facets BPC processes and funding types, including Facets application, Facets Configuration Management App (FCMA), Case Installation Tool (CIT), Vista, DPL, technical processes, product knowledge, state and federal mandates, and all matrix partner interactions
Analyze and code benefits in the system to ensure they are in compliance with legislation
High volume, quality driven, production environment
Utilize job aides, standard operating procedures, internal and external documentation to perform build tasks
Meet required performance metrics, prevent Service Issues, and manage inventory within the stated cycle times
Participate in daily huddles to assess inventory needs, technical support needs, and remove barriers to ensure deliverables and commitments are met
Achieve client access to care goals and commitments
Maintain positive relationships and communication with Matrix partners
This is a coding/data entry role, will be utilizing different software programs and applications
May participate in system release requirements, internal/external audits, projects, etc.
Qualifications:
High School Diploma or GED required
Experience in business product configuration (BPC), Facets platform preferred
Computer Science knowledge required
Prior training and technical experience
Prior procedure and curriculum development experience
Experience with virtual training, including tools and engagement methods
Independent learner and self-starter
Ability to work in a matrix environment
Accurate data entry and attention to detail
Strong computer application skills (including MS Office Excel)
Advanced written communication skills
Technical aptitude and desire to learn new technology functions
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 hourly rate of 20 – 30 USD / hourly, 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: [email protected] for support. Do not email [email protected] 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.
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