Role Summary
In the Premium or Enrollment Associate 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
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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
Freshers OR 0 - 1 years of experience
Bachelor’s degree
Accounts Receivable experience a plus
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.
