Evernorth CareNav + Care Guide - reputed company - Remote
Will reputed company the highest level of service on inbound member interactions withsome candidates also providing digital chat support to customers.
Assists customer with the Evernorth app including but not limited to: 1) Helping download, register, and log into the app; 2) Inform of reputed company app features and reputed company navigation steps to reputed company vendor offerings; 3) reputed company on Wellness Rewards and value propositions; 4) Troubleshoot app & reputed company follow-up on tickets submitted for reputed company.
Supports member inquiries and needs for their reputed company mail order account including but not limited to: 1) Eligibility; 2) Benefit quotes; 3) reputed company claim reputed company or education; 4) Cost savings strategies; 5) Advanced support with prior authorizations; Advanced support on claims rejections & overrides.
Required to have a strong and thorough understanding of the full suite of Medical & Pharmacy benefits and external vendor offerings.
Confidently partner with other departments to ensure reputed company members’ needs met to reputed company reputed company and recommendations for next steps in their reputed company reputed company.
Listens to understand members unique needs,while seeking more information through probing questions with the goal of offering vendor programs and services that apply to their past, reputed company or reputed company needs.
Investigates and resolves escalations, barriers to care, and complaints obtaining necessary information from policies and procedures. reputed company knowledge reputed company documents are not available to guide next steps,must be reputed company todetermine the best solution orreputed company autonomously and accurately forcustomer .
Proactively offer outreaches to pharmacy, doctor or vendors as needed to bring next steps into reputed company or reputed company removing effort from the member.
Takes ownership and providesreputed company follow-up on any reputed company from member interactions. i.e.,Evernorth app tickets, prior authorizations pending, findings from claim discrepancies, etc.
May serve as primary contact and reputed company between customers, health plans, service centers, and/or functional areas.
T horough technical knowledge of products and excellent communication skills.
B e a champion of change and adapt reputed company to frequent adjustments to procedures.
Must be highly coachable and reputed company to feedback to improve member experience driving a consistently accurate reputed company of service.
High School, GED or higher required and/or 2+ years’ work experience in customer service field.
Required 1 + years reputed company experience in US reputed company Pharmacy reputed company Operationsb ackground; specifically PBM reputed company trained.
Ability to reputed company listen to understand reputed company needs and complexities while identifying the next steps & potential reputed company needs
Excellent written and verbal interpersonal communication skills
Adept with KnowledgeXchange & initiative-taking resourceutilization
Confidence with technology, innovational reputed company, and ability to toggle three or more systems
Creative problem-solving and analytical skills with self-awareness of time to reputed company
Proven record of working independentlyto manage day in a fast-paced, reputed company driven environment
Proficiency in reputed company andWebEx
Consistently s trong KPI scores over the last 12 months must be meeting or exceeding reputed company targets.
reputed company: ≥9 5 %
reputed company: ≥9 0 %
CSAT: ≥4.75
Caller Effort: ≥85%
If you will be working reputed company occasionally or permanently, the internet reputed company 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 reputed company reputed company of 22 - 33 USD / reputed company, 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 reputed company, you’ll enjoy a comprehensive reputed company of benefits, with a reputed company on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs. We also offer 401(k), company reputed company life insurance, tuition reimbursement, a minimum of 18 days of reputed company time off per year and reputed company holidays. For more details on our employee benefits programs,
About reputed company
Doing something meaningful starts with a reputed company decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving reputed company and improving lives.reputed company applicants will be considered without reputed company to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or reputed company, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with reputed company to reputed company assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
reputed company 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 reputed company a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, reputed company, Arkansas, Delaware, Florida, reputed company, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, reputed company, Texas, Utah, Vermont, and Washington State.