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Cigna Eligibility Representative Remote Jobs (NOW HIRING)

VIVA USA INC

Eligibility Representative

Chicago, IL · On-site +1

The Eligibility Representative is responsible for performing analytical and administrative ... This role is configured for B-Flex time entry (not SPARK) and is fully remote. VIVA is an equal ...

Cigna

Claims Representative - Remote

New York, NY · Remote

$19/hr

Claims are processed according to benefits, eligibility, and internal processes, policies, and ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...

Cigna

$15.50 - $21/hr

The Cigna Group is a global Health Service company dedicated to helping people improve their health ... The Call Center Customer Service Representative represents the company, and our people make all the ...

Mutual of Omaha

Quality Audit Rep - Remote

Omaha, NE · Remote

Quality Audit Rep - Remote Apply now Job no: 505000 Work type: Full Time Regular Location: Remote ... premium and eligibility processing functions. * Maintains confidentiality in the collection ...

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How much do cigna eligibility representative remote jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for cigna eligibility representative remote 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 are some typical daily responsibilities for a Cigna Eligibility Representative working remotely?

As a remote Cigna Eligibility Representative, your daily responsibilities typically include verifying member eligibility, processing enrollment requests, and responding to inquiries from members, providers, and internal teams. You will also investigate and resolve discrepancies in coverage, update records in designated systems, and ensure compliance with privacy and company standards. Collaborating virtually with coworkers and participating in regular team meetings are common parts of the workflow. This role requires balancing independent work with ongoing communication to ensure high levels of efficiency and customer satisfaction.

What are the key skills and qualifications needed to thrive in the Cigna Eligibility Representative Remote position, and why are they important?

Succeeding as a Cigna Eligibility Representative Remote requires strong attention to detail, excellent customer service skills, and a high school diploma or equivalent. Familiarity with healthcare eligibility systems, enrollment platforms, and customer relationship management (CRM) tools is typically necessary. Outstanding interpersonal communication, problem-solving abilities, and time-management skills help professionals excel in this position. Mastering these skills ensures efficient, accurate processing of member information and delivers a positive experience for clients and healthcare providers.

What is a Cigna Eligibility Representative Remote job?

A Cigna Eligibility Representative Remote job involves reviewing and processing member eligibility and enrollment information for Cigna’s healthcare plans. Responsibilities typically include verifying customer details, updating records, and resolving enrollment discrepancies while ensuring compliance with company policies and regulations. This role is performed remotely, requiring strong attention to detail, communication skills, and proficiency with administrative systems. It may also involve interacting with customers, healthcare providers, or internal teams to address eligibility-related inquiries.

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Cigna Eligibility Representative Remote jobs near you
Infographic showing various Cigna Eligibility Representative Remote job openings in the United States as of July 2026, with employment types broken down into 2% Locum Tenens, 45% Full Time, 3% Part Time, 38% Contract, 11% Nights, and 1% Summer. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $46,986 per year, or $22.6 per hour.
Eligibility Representative

Eligibility Representative

VIVA USA INC

Chicago, IL • On-site, Remote

Contractor

Re-posted 18 days ago

Job description

The Eligibility Representative is responsible for performing analytical and administrative functions to support Medicare enrollment and eligibility processes. This position is data-driven and transactional in nature, with a strong focus on accuracy, compliance, and Medicare requirements rather than customer-facing activities.
Key Responsibilities
Process and maintain eligibility and enrollment transactions, including updates, corrections, and reconciliations of member data
Review and analyze eligibility reports to identify discrepancies and ensure accurate resolution
Implement and maintain data across automated systems, direct connections, and manual workflows
Verify eligibility and ensure compliance with Medicare guidelines and regulatory requirements
Partner with internal teams (e.g., systems, operations) to investigate and resolve data or processing errors
Perform detailed data entry and validation tasks with a high level of accuracy and timeliness
Monitor transaction outputs to ensure completeness and adherence to established standards
Important Role Clarification
This role is not primarily customer service-based and does not focus on call handling. This role is customer focus , not customer service . We don't speak to members at all really.
Responsibilities center on processing enrollment transactions and eligibility data, which require strong analytical skills and attention to detail
Verifying eligibility and processing enrollment applications/transactions are distinct functions, with this role emphasizing transaction processing and data integrity
Required Qualifications
Working knowledge of Medicare Advantage enrollment and eligibility (Part A, Part B, and Part C)
Strong analytical and problem-solving skills with a data-focused mindset
High attention to detail and ability to manage large volumes of transactional work
Proficiency in Microsoft Office Suite (especially Excel)
Ability to work independently with minimal supervision
Strong written communication skills for internal collaboration
Preferred Qualifications
1+ year of experience in healthcare insurance
1+ year of experience in enrollment and eligibility processing (Medicare Advantage preferred)
Prior experience with data entry, enrollment systems, and transaction processing
Notes:
This role is configured for B-Flex time entry (not SPARK) and is fully remote.
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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