Support and scale the Recovery Operations function by managing a portfolio of recovery cases, identifying opportunities, and driving outcomes using internal systems.
Responsibilities
Manage a portfolio of recovery cases from intake through resolution
Navigate insurance carrier systems to validate and advance claims
Identify high-value recovery opportunities using internal tools and datasets
Communicate with payers to drive case progression and negotiate outcomes
Maintain accurate case documentation and ensure data integrity
Serve as a specialist in enrollment and billing operations within healthcare products applying expertise in eligibility and benefit verification demographic data entry and claim or charge entry.
Responsibilities
Manage end to end enrollment processing within healthcare products to ensure accurate and timely member onboarding that supports reliable coverage activation and billing integrity.
Execute detailed eligibility and benefit verification activities to confirm member coverage parameters and minimize claim denials while strengthening trust in healthcare plan accuracy.
Perform precise demographic data entry for member and subscriber records to maintain high quality datasets that drive accurate billing communications and regulatory reporting.
Handle claim and charge entry tasks with strong attention to detail to support clean claim submissions and efficient reimbursement cycles for healthcare services.
Monitor daily work queues for enrollment and billing transactions to prioritize tasks effectively and support consistent throughput in a work from office day schedule.
Manage complex telecom order management activities in a hybrid work model.
Responsibilities
Manage end to end telecom order management activities by validating order details coordinating with internal teams and ensuring accurate and timely order fulfillment across the order to cash cycle.
Execute customer specific order processing steps by interpreting telecom product configurations and applying business rules to prevent errors and rework.
Monitor order queues and voice based requests by prioritizing critical cases and resolving order blocks or discrepancies within agreed timelines.
Handle voice based customer and stakeholder calls by capturing requirements clarifying order information and documenting all updates in the system of record.
Perform root cause analysis on failed or delayed orders by identifying process gaps and recommending corrective actions that improve order quality.
Support customers transitioning from their current software to the client's new software platform, managing outbound and inbound calls, case management, and ensuring a smooth migration experience.
Responsibilities
Conduct outbound calls to customers to initiate and support the software migration process.
Handle inbound customer calls related to onboarding, migration questions, and technical assistance.
Manage customer cases from first contact through successful completion of the migration process.
Provide clear instructions and support to guide customers through each step of the transition.
Document all interactions, updates, and progress in the case management system.
Lead customer service operations in a contact centre, managing escalations and ensuring service quality.
Compensation
Competitive salary aligned with market benchmarks.
Responsibilities
Investigate and resolve complex customer enquiries, complaints, appeals, and escalated service issues across calls, emails, and written correspondence.
Act as the primary operational and technical escalation point for cases requiring advanced research, coordination, policy interpretation, or procedural guidance.
Interpret policy provisions, benefits, procedures, and operational requirements to determine appropriate solutions and escalation pathways.
Maintain end-to-end ownership of escalated cases, ensuring timely resolution, accurate documentation, proactive follow-up, and clear customer communication.
Support service recovery activities by managing customer expectations, coordinating corrective actions, and ensuring customer concerns are effectively addressed.
Requirements
Diploma or Bachelor's degree, preferably in Business Administration, Healthcare Administration, Customer Service Management, or a related discipline.
Nice to have: Knowledge of healthcare insurance operations, medical terminology, and healthcare service delivery models
Nice to have: Experience supporting onboarding, floor support, knowledge-sharing, quality calibration, or process improvement initiatives
Customer Service Lead Representitive - Cigna Healthcare
Lead operational and technical escalation point for complex customer service cases in a healthcare insurance contact centre.
Compensation
Competitive salary aligned with market benchmarks.
Responsibilities
Investigate and resolve complex customer enquiries, complaints, appeals, and escalated service issues across calls, emails, and written correspondence.
Act as the primary operational and technical escalation point for cases requiring advanced research, coordination, policy interpretation, or procedural guidance.
Interpret policy provisions, benefits, procedures, and operational requirements to determine appropriate solutions and escalation pathways.
Maintain end-to-end ownership of escalated cases, ensuring timely resolution, accurate documentation, proactive follow-up, and clear customer communication.
Support service recovery activities by managing customer expectations, coordinating corrective actions, and ensuring customer concerns are effectively addressed.
Requirements
Diploma or Bachelor's degree, preferably in Business Administration, Healthcare Administration, Customer Service Management, or a related discipline.
Nice to have: knowledge of healthcare insurance operations
Litigation ParalegalNewTyson & Mendes LLP · Charleston, US
Case ManagerNewThe Public Interest Company · US
SPE-Enrollment & BillingNewCognizant
Customer Care Team MemberHarte Hanks · US
Customer Service Lead Representitive - Cigna HealthcareThe Cigna Group · Riyadh, Saudi Arabia
People Services SpecialistSKF AI · Nilai, Malaysia