Customer Service Representative - Evernorth Health Services - Remote

Overview

This position supports a resolute team for our clients Evernorth app & Express Scripts Pharmacy inquiries with expanded responsibilities in proactively educating on and recommending a multitude of Evernorth programs and services.

In Short

• Provide high-level service on inbound member interactions.
• Assist customers with the Evernorth app and Express Scripts mail order account.
• Educate members on wellness rewards and vendor offerings.
• Resolve complex claim issues and provide cost-saving strategies.
• Investigate and resolve escalations and complaints.
• Partner with other departments to meet member needs.
• Take ownership and provide timely follow-up on member interactions.
• Adapt to frequent adjustments in procedures.
• Maintain consistent strong KPI scores.
• Work independently in a fast-paced environment.

Requirements

• High School diploma or GED required.
• 2+ years’ work experience in customer service.
• 1+ years call experience in US Commercial Pharmacy Call Operations.
• Excellent written and verbal communication skills.
• Proficiency in Outlook and WebEx.
• Strong problem-solving and analytical skills.
• Ability to manage multiple systems and technologies.
• Strong understanding of Medical & Pharmacy benefits.
• Ability to work autonomously and adapt to changes.
• Consistently meet or exceed performance metrics.

Benefits

• Comprehensive health-related benefits including medical, vision, and dental.
• 401(k) and company paid life insurance.
• Tuition reimbursement.
• Minimum of 18 days of paid time off per year.
• Paid holidays.
• Participation in an annual bonus plan.
• Support for whole health and well-being.
• Opportunities for professional growth and development.
• Work in a supportive and inclusive environment.
• Access to wellness and behavioral health programs.