Bilingual Customer Service

1 week ago


Montréal, Canada Cigna Full time

**NOTE**: We have multiple vacancies including FTE and Contracts.

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

Please note this role requires flexible availability and may include weekend shifts. The Call Centre hours are Monday to Friday, 6:30am to midnight and weekends and holidays, 8:00am to midnight.

**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

Express Scripts Canada est à la recherche d’un représentant bilingue pour son Centre d’appels à l’intention des fournisseurs. Si le travail en après-midi ou en soirée convient mieux à votre mode de vie, cet emploi est pour vous La personne recherchée doit pouvoir travailler jusqu’à 35 heures par semaine et être en mesure de travailler l’après-midi et le soir ainsi qu’occasionnellement les fins de semaine ou les jours fériés.

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.

Express Scripts Canada is a Cigna company

Express Scripts Canada is a subsidiary of Express Scripts, a Cigna company. Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, wellbeing and peace of mind of those we serve. Cigna offers an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.

About Express Scripts Canada

Express Scripts Canada is a leading health benefits manager and has been recognized as one of the most in



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