{"schemaVersion":"jobsearcher.job.v1","id":"65c84359a0d5dde60655e35a","url":"https://jobsearcher.com/jobs/65c84359a0d5dde60655e35a","canonicalUrl":"https://jobsearcher.com/jobs/65c84359a0d5dde60655e35a","title":"Customer Service Representative - Express Scripts - Remote","description":"Customer Service RepresentativeThe Cigna Group is a global Health Service company dedicated to helping people improve their health and vitality. We seek dedicated, compassionate, and empathetic Customer Service Representatives to join our team who are genuinely interested in helping people at critical points of their lives. The Call Center Customer Service Representative represents the company, and our people make all the difference in our success.Responsibilities:Answer inbound calls from members, providers, and pharmacies with questions about Pharmacy Benefit Management (PBM) benefits, mail-order pharmacies, or Medicare.Take calls back-to-back while toggling through several applications on multiple screens.Attend 100% of trainings and the first 90 days of employment.Update conversion requests and provide shipment status to membersFacilitate transition of requested medications to home deliveryAdvocate for the member patient by placing phone calls, fax or other means to physician's office to obtain prescriptions and forward to pharmacy for fulfillmentObtain new prescriptions from physician's office and record approval statusService incoming calls from doctors' officesEnsure accurate and complete documentation is entered into the appropriate systems for all contacts (internal/external) to maintain the quality of the home delivery process, document HIPAA compliance and reduce potential legal concernsResolve questions and/or issues that may be preventing shipment of an orderUphold quality and productivity standards on all transactionsThe customer service representatives must ensure complete and accurate documentation into the appropriate systems to maintain quality and to meet regulatory requirements.Use active listening skills when the members express concerns about medication coverage or costs and offer the members options for a starting coverage review to meet regulatory requirementsUnderstand and strive to meet or exceed call center metrics while providing excellent consistent customer serviceYou will learn and need to demonstrate understanding of call handling which includes compliance expectations and system navigation through several applicationsEnjoy a work-from-home lifestyle where you can virtually connect with coworkers and customers.Help patients understand their pharmacy benefits better. Use the knowledge you gain from training, your problem-solving skills and support from your team answer patient calls effectively.Help us keep track of our patient interactions. While on calls, use your expert listening skills to get to the heart of a patient's question quickly and document all interactions in real-time.Ensure patients are equipped with the best advice. Identify and empathetically address patient concerns and, if necessary, escalate appropriatelyQualifications:High School diploma or equivalent requiredAt least 2 years of relevant experience- Healthcare and/or Call Center PreferredA dedicated workspace with no distractions is requiredTech Savvy- Strong computer skills including Microsoft OfficeStrong organization skills, written, and verbal communication skillsAbility to provide exceptional listening and customer service skills; remain calm and helpful even when dealing with difficult callersAbility to adapt in a dynamic work environment, learn quickly, solve problems and make decisionsFoster teamwork and partnership with cross-functional departments to resolve issues and improve customer experienceAbility to work a flexible schedule including Night and/or weekendsSchedule:Training: M-F 9:00AM - 5:30PM ESTPost Training: You will be required to work anywhere between 7:00AM - 12:00AM EST 7 days a week.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 17.75 - 19 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.At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.","company":"Cigna","rawCompany":"cigna","isRemote":true,"isActive":false,"createdAt":"2026-08-18T23:46:34.635Z","occupations":[{"code":"43-4051.00","title":"Customer Service Representatives","slug":"customer-service-representatives"},{"code":"29-2099.08","title":"Patient Representatives","slug":"patient-representatives"},{"code":"43-4171.00","title":"Receptionists and Information Clerks","slug":"receptionists-and-information-clerks"}],"industries":[{"code":"561422","title":"Telemarketing Bureaus and Other Contact Centers","slug":"telemarketing-bureaus-and-other-contact-centers"},{"code":"456110","title":"Pharmacies and Drug Retailers","slug":"pharmacies-and-drug-retailers"},{"code":"621610","title":"Home Health Care Services","slug":"home-health-care-services"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Customer Service Representative - Express Scripts - Remote","description":"Customer Service RepresentativeThe Cigna Group is a global Health Service company dedicated to helping people improve their health and vitality. We seek dedicated, compassionate, and empathetic Customer Service Representatives to join our team who are genuinely interested in helping people at critical points of their lives. The Call Center Customer Service Representative represents the company, and our people make all the difference in our success.Responsibilities:Answer inbound calls from members, providers, and pharmacies with questions about Pharmacy Benefit Management (PBM) benefits, mail-order pharmacies, or Medicare.Take calls back-to-back while toggling through several applications on multiple screens.Attend 100% of trainings and the first 90 days of employment.Update conversion requests and provide shipment status to membersFacilitate transition of requested medications to home deliveryAdvocate for the member patient by placing phone calls, fax or other means to physician's office to obtain prescriptions and forward to pharmacy for fulfillmentObtain new prescriptions from physician's office and record approval statusService incoming calls from doctors' officesEnsure accurate and complete documentation is entered into the appropriate systems for all contacts (internal/external) to maintain the quality of the home delivery process, document HIPAA compliance and reduce potential legal concernsResolve questions and/or issues that may be preventing shipment of an orderUphold quality and productivity standards on all transactionsThe customer service representatives must ensure complete and accurate documentation into the appropriate systems to maintain quality and to meet regulatory requirements.Use active listening skills when the members express concerns about medication coverage or costs and offer the members options for a starting coverage review to meet regulatory requirementsUnderstand and strive to meet or exceed call center metrics while providing excellent consistent customer serviceYou will learn and need to demonstrate understanding of call handling which includes compliance expectations and system navigation through several applicationsEnjoy a work-from-home lifestyle where you can virtually connect with coworkers and customers.Help patients understand their pharmacy benefits better. Use the knowledge you gain from training, your problem-solving skills and support from your team answer patient calls effectively.Help us keep track of our patient interactions. While on calls, use your expert listening skills to get to the heart of a patient's question quickly and document all interactions in real-time.Ensure patients are equipped with the best advice. Identify and empathetically address patient concerns and, if necessary, escalate appropriatelyQualifications:High School diploma or equivalent requiredAt least 2 years of relevant experience- Healthcare and/or Call Center PreferredA dedicated workspace with no distractions is requiredTech Savvy- Strong computer skills including Microsoft OfficeStrong organization skills, written, and verbal communication skillsAbility to provide exceptional listening and customer service skills; remain calm and helpful even when dealing with difficult callersAbility to adapt in a dynamic work environment, learn quickly, solve problems and make decisionsFoster teamwork and partnership with cross-functional departments to resolve issues and improve customer experienceAbility to work a flexible schedule including Night and/or weekendsSchedule:Training: M-F 9:00AM - 5:30PM ESTPost Training: You will be required to work anywhere between 7:00AM - 12:00AM EST 7 days a week.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 17.75 - 19 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.At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.","datePosted":"2026-08-18T23:46:34.635Z","dateModified":"2026-08-18T23:46:34.635Z","hiringOrganization":{"@type":"Organization","name":"Cigna","sameAs":"https://jobsearcher.com"},"jobLocationType":"TELECOMMUTE","applicantLocationRequirements":{"@type":"Country","name":"US"},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"65c84359a0d5dde60655e35a"},"url":"https://jobsearcher.com/jobs/65c84359a0d5dde60655e35a"}}