Job Description

The primary purpose of the Care associate position is to provide a variety of departmental support functions that contribute to the overall efficiency of the Case Management Department. The most important of these functions are communication, customer service, data entry, record retrieval and the preparation, privacy and maintenance of all records and other duties as assigned.Main Duties / ResponsibilitiesResponsible for authorization data collection and/or data entry into computer system from incoming calls or faxes.support the daily functions and Assign tasks to case managerAnswers inquires, gathers information, resolves routine matters, and responds to minor complaints or problems received through inbound phone queue.May maintain documentation for regulatory review, participate in education of members / providers regarding plan benefits, and make referrals to other departments.May interact with other departments and external vendors.Will complete authorization request from providers via phone call, incoming fax or provider portal.Will distribute request to appropriate Clinician. Will work closely with member services, Clinician, and case manager.Additional assignments as requested.Education/Professional Qualifications/Experience RequiredHigh School Diploma or equivalent.At least 2 years of experience in health services, call center and/or managed care environment.SkillsKnowledge of managed care and/or medical management and medical terminology.Intermediate skills in word processing, data entry of medical information/ terminology and telephone skills.Willingness to learn and be a team playerWorking knowledge of Microsoft Office ProgramsCritical thinking skillsThe ability to work with employees at all levelsStrong interpersonal communication and customer service skills with the ability to motivate othersThe ability to work both independently and as a part of a team with enthusiasm, initiative and creativityExcellent skills in all Microsoft Office Programs including Word, PowerPoint, Publisher and ExcelAbility to interpret data and translate findings into business opportunitiesAbility to develop relationships across all levels of the Company, as well as externallyExcellent communication skills in both written and spoken English and ChineseRequired Core Values & BehaviorsGrowth mindsetCollaboration & communicationOwnership & accountabilityCustomer FocusAbout The Cigna GroupCigna 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.

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