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Cigna Eligibility Representative Jobs (NOW HIRING)

Cigna

Dedicated Client Service Partner

Orlando, FL · On-site

$15 - $20.25/hr

As a Dedicated Client Service Partner , you will serve as an extension of the Cigna Account ... Resolve complex escalated issues involving claims, denials, authorizations, appeals, eligibility ...

Cigna

Dedicated Client Service Partner

Orlando, FL

$15 - $20.25/hr

As a Dedicated Client Service Partner , you will serve as an extension of the Cigna Account ... Resolve complex escalated issues involving claims, denials, authorizations, appeals, eligibility ...

Medix

Out of Network AR Rep

New York, NY · On-site

$25 - $32/hr

Broad familiarity with major commercial carriers (BCBS, Aetna, Cigna, UHC) and third-party ... Eligibility for health benefits is based on verifying that an average of 30 hours per week during ...

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How much do cigna eligibility representative jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for cigna eligibility representative in the United States is $22.59, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $25.72 per hour, depending on experience, location, and employer.

What is the difference between Cigna Eligibility Representative vs Cigna Customer Service Representative?

AspectCigna Eligibility RepresentativeCigna Customer Service Representative
Primary RoleVerify and determine patient insurance eligibility and benefitsAssist customers with inquiries, claims, and account issues
Required CredentialsHigh school diploma; some roles may prefer insurance or healthcare certificationsHigh school diploma; customer service experience beneficial
Work EnvironmentOffice setting, healthcare or insurance companyOffice or call center environment, healthcare or insurance company
Industry UsageCommonly used in health insurance companies like CignaWidely used across insurance and healthcare providers

The Cigna Eligibility Representative focuses on verifying patient insurance coverage and benefits, ensuring accurate eligibility information. In contrast, the Cigna Customer Service Representative handles a broader range of customer inquiries, including claims and account issues. Both roles require similar credentials and work in comparable environments within the healthcare insurance industry, but their primary responsibilities differ.

What does a Cigna Eligibility Representative do?

A Cigna Eligibility Representative is responsible for verifying and maintaining the eligibility status of customers for various Cigna health insurance plans. They review and process enrollment and eligibility information, respond to customer and provider inquiries, and ensure that all data is accurate and up to date. Their work helps ensure that members receive the correct benefits and services, and they often collaborate with other departments to resolve complex eligibility issues.

What are the key skills and qualifications needed to thrive as a Cigna Eligibility Representative, and why are they important?

To thrive as a Cigna Eligibility Representative, you need a strong understanding of healthcare insurance processes, attention to detail, and typically a high school diploma or equivalent. Familiarity with claims processing systems, eligibility databases, and Microsoft Office Suite is often required. Outstanding customer service, problem-solving abilities, and effective communication skills help you resolve inquiries and support clients. These skills ensure accurate eligibility determination, efficient issue resolution, and a positive customer experience.

What are some common challenges Cigna Eligibility Representatives face, and how can they effectively manage them?

Cigna Eligibility Representatives often encounter challenges like handling high volumes of inquiries and resolving complex eligibility issues for members and providers. To manage these effectively, strong attention to detail and excellent communication skills are essential, as is the ability to navigate multiple systems simultaneously. Representatives can benefit from staying updated on policy changes and working closely with team members and other departments to resolve escalated cases efficiently. Regular training and leveraging available resources help ensure accuracy and maintain service quality.
More about Cigna Eligibility Representative jobs
What are the most commonly searched types of Cigna Eligibility Representative jobs? The most popular types of Cigna Eligibility Representative jobs are:
What states have the most Cigna Eligibility Representative jobs? States with the most job openings for Cigna Eligibility Representative jobs include:
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Cigna Eligibility Representative jobs near you
Infographic showing various Cigna Eligibility Representative job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $46,986 per year, or $22.6 per hour.

Sr. Account Representative - Specialty Pharmacy Sales/AIC - CuraScript SD - Hybrid (Lake Mary, FL)

Cigna

Lake Mary, FL • Remote

Full-time

Posted 3 days ago

New

Cigna Healthcare rating

8.4

Company rating: 8.4 out of 10

Based on 237 frontline employees who took The Breakroom Quiz

26th of 887 rated healthcare providers

Job description

As a Senior Account Representative- Specialty Pharmacy Sales/AIC, you will help grow revenue, strengthen client relationships, and support access to specialty pharmacy solutions. This role is ideal for a motivated sales professional who enjoys building trust, solving problems, and using insights to uncover new opportunities. You will partner with clients and internal teams to drive account performance, protect customer satisfaction, and support meaningful growth in a fast-moving healthcare environment.

Responsibilities

  • Grow revenue and gross margin within an assigned territory through account development, organic growth, and new account opportunities.
  • Build andmaintainstrong client relationships through proactive outreach, regular follow-up, and thoughtful account support.
  • Identifycustomer needs, market trends, and potential issues, using insights to recommend solutions and improve account performance.
  • Serve as a first point of escalation for client concerns, coordinatingtimelyand effective resolutions that protect satisfaction and trust.
  • Support sales auditing, contract verification, and related processes to ensure agreements and procedures are followed accurately.
  • Manage account-related requests such as credits, debits, product returns, and Class of Trade eligibility with accuracy and professionalism.
  • Collaborate with internal teams to support seamless contract execution, client service, and operational follow-through.
  • Represent the organization in client meetings and industry events, promoting specialty pharmacy and distribution solutions with confidence.

Required Qualifications

  • Minimum 5 years of experience in specialty distribution, pharmaceutical sales, specialty pharmacy sales, or related healthcare sales.
  • Demonstratedability to meet or exceed sales goals in a results-driven environment.
  • Strong relationship-building skills with the ability to earn trust and engage clients professionally.
  • Excellent written, verbal, and presentation skills.
  • Proficiencywith Microsoft Office, including strong Excel skills.
  • Strong organization, problem-solving, and time management skills withabilityto work independently.

Preferred Qualifications

  • Bachelor's degree in business, healthcare, life sciences, or related field.
  • Knowledge of specialty distribution, pharmaceuticals, Group Purchasing Organizations (GPOs), or specialty pharmacy operations.
  • Experience using sales analytics, reporting, or customer data to improve territory performance.
  • Experience attending trade shows, industry events, or client-facing meetings.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group 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 enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

What Cigna Healthcare employees say

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About Cigna

Sourced by ZipRecruiter

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Bloomfield, CT, US

Social media

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