Bilingual CSR

4 weeks ago


Toronto, Ontario, Canada The Cigna Group Full time
The job profile for this position is Customer Service Representative, which is a Band 1 Professional Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply

Our people make all the difference in our success.

Le personnel du Centre d'appels à l'intention des fournisseurs agit à titre d'intermédiaire entre les fournisseurs et Express Scripts Canada en ce qui concerne les demandes quotidiennes relatives au traitement des demandes de règlement. Le représentant du Centre d'appels doit refléter l'engagement d'Express Scripts Canada en matière d'accessibilité et de rapidité de réponse aux fournisseurs. Ce poste est essentiel au maintien des niveaux de service et des objectifs contractuels.

Responsabilités principales

· Répondre aux appels provenant de différents professionnels de la santé.

· Répondre aux questions sur l'admissibilité aux couvertures (soins dentaires, médicaments, équipement médical et fournitures médicales, soins médicaux complémentaires, soins de la vue et counseling en santé mentale) ainsi qu'à des questions relatives aux demandes de règlement.

· Déterminer les besoins de l'appelant et les évaluer.

· Répondre aux questions de manière exacte et donner des renseignements complets de façon rapide et professionnelle.

· Offrir du soutien technique, au besoin, afin d'aider les fournisseurs à soumettre leurs demandes de règlement par voie électronique.

· Collaborer avec les autres équipes et services de l'entreprise.

· Communiquer de manière efficace.

· Offrir une expérience client hors pair lors de chaque interaction.

· Accomplir d'autres tâches, au besoin.

· Les horaires associés à ce poste sont variables et peuvent comprendre les fins de semaine.

Le Centre d'appels est ouvert du lundi au vendredi de 6 h 30 à minuit, ainsi que les fins de semaine et les jours fériés, de 8 h à minuit.

Compétences recherchées

· Présenter d'excellentes habiletés de communication à l'oral comme à l'écrit.

· Présenter d'excellentes habiletés interpersonnelles et être en mesure de travailler seul ou en équipe.

· Être en mesure de résoudre des problèmes.

· Être en mesure de travailler le jour, le soir et les jours fériés.

· Maîtriser la suite Microsoft Office (Word, Excel, Outlook) et avoir de bonnes aptitudes en saisie au clavier.

· Être bilingue, en français et en anglais.

______________________________________________________________________

The Provider Call Centre is the main venue for communication between providers and Express Script Canada regarding day-to-day claims adjudication queries. The Customer Service Representatives reflect Express Script Canada's commitment to accessibility and responsiveness to providers. This position is instrumental in meeting contractual objectives and service levels.

Key Responsibilities:

· Respond to inbound calls from a variety of Health Care Providers

· Respond to inquiries regarding eligibility of health care benefits (Dental, Pharmacy, Medical Supplies and Equipment, Extended Health, Vision Care and Mental Health Counselling) and claim inquiries

· Identify and assess the caller's needs

· Provide accurate, and complete information in a prompt and professional manner

· Provide technical support where required to assist providers with electronic claims submissions

· Collaborate with other internal teams & departments

· Communicate effectively and efficiently

· Provide a world-class customer service experience with every interaction

· Other duties as assigned

Qualifications:

· Excellent verbal and written communication skills

· Strong interpersonal skills with the ability to work independently and within a team environment

· Problem-solving skills

· Flexibility in working days, evenings and holidays

· Skilled in MS Office (Word, Excel, Outlook), along with strong keyboarding skills

· Bilingualism, English and French, is required

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.


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