Cigna

Health care + 1 more

Customer Service Representative - Portuguese

Job details

Contract Type

Description

Qualifications

  • Must have a diploma or bachelor’s degree certificate

  • Excellent English written and oral communication skills

  • Portuguese written and oral skill is a must

  • Exceptional organizational and time-management focus

  • Independently responds to inquiries, grievances, complaints or appeals ranging from routine to moderate complexity.

  • 1+ years of customer service experience analyzing and solving customer problems required; call center experience a plus

  • Ability to perform in a high volume, fast paced call center environment

  • Proven ability to work independently as well as a productive member of a team

  • Intermediate proficiency in Microsoft office suite; high level capacity to multitask independently and on a computer

  • Knowledge of medical terminology a plus


Responsibilities
  • Handle calls and e-mails and respond to simple and complex inquiries regarding eligibility, cards status, envoy registration/navigation, policy benefits, issue certificates of insurance, claims status and other related information and provide solutions for customers and clients.

  • Receives requests by mail, telephone, or in person regarding insurance claims/policies. Responds to inquiries from policy holders, clients, brokers and/or others.

  • Performs research to respond to inquiries and interprets policy provisions to determine most effective response.

  • Mails or routes claim forms and supporting documentation to various units for final processing.

  • Excellent interpersonal skills, ability to understand and interpret policy provisions. Independently responds to inquiries, grievances, complaints, or appeals ranging from routine to moderate complexity.

  • May seek assistance with complex customer services issues.


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