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Cigna Eligibility Representative Remote Jobs in Raleigh, NC

Duke Health

Medicaid Eligibility Analyst

Durham, NC · On-site +1

This is a hybrid remote position working between 1-4 days a week remotely depending on the needs of ... In some cases, may act as the authorized patient's representative for the purpose of initiating an ...

MDS Communications

Remote Call Center Sales Rep

Cary, NC · Remote

$15 - $16/hr

North Carolina Remote - NCEducation Level: Not SpecifiedSalary Range: $15. 00 - $16. 00 HourlyJob ... Health insurance eligibility after just 2 months. MDS pays 75% of base employee premiums. Paid time ...

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Cigna Eligibility Representative Remote information

See Raleigh, NC salary details

$11

$21

$32

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

As of Aug 2, 2026, the average hourly pay for cigna eligibility representative remote in Raleigh, NC is $21.96, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.00 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.

What are popular job titles related to Cigna Eligibility Representative Remote jobs in Raleigh, NC? For Cigna Eligibility Representative Remote jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Cigna Eligibility Representative Remote jobs in Raleigh, NC look for? The top searched job categories for Cigna Eligibility Representative Remote jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Cigna Eligibility Representative Remote jobs? Cities near Raleigh, NC with the most Cigna Eligibility Representative Remote job openings:
Cigna Eligibility Representative Remote jobs near you
Infographic showing various Cigna Eligibility Representative Remote job openings in Raleigh, NC as of July 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $45,674 per year, or $22 per hour.

Member Service Representative - Remote North Carolina!!

S3 Shared Service Solutions, LLC

Raleigh, NC • Remote

$19.23 - $19.73/hr

Full-time

Medical, Dental, Vision, Life

Re-posted 18 days ago

Job description

Member Service Representative (Competitive Pay plus incentives) - College Grads and Bilingual (Spanish) candidates are a plus! This is a Remote position! Candidates must live in North Carolina!

APPLY DIRECTLY by visiting our website: www.s3cuso.com - click on current openings - Member Service Representative - Apply to Corporate location in Linthicum/Baltimore but use North Carolina address in your application!

OVERVIEW

The Service Representative will respond to member inquires via telephone regarding membership, banking products, services and rates while providing friendly, accurate and speedy service. He/she will also resolve member issues timely and thoroughly, seeking to exceed member expectations on every call. The position will utilize knowledge of products, data systems and web based applications to provide information and remedy member service issues.

Higher level responsibilities will also include the following: Responding to online banking and bill payment inquiries; troubleshoot connectivity issues for online banking and bill payment; resolve ID/password access issues; prepare professionally written responses to email inquiries, ensuring that the member’s response is completed within established time-frames; research and resolve member bill payment issues within service level agreement standards. We will also partner with business partners to resolve member disputes and educate members about bill payment functionality for future use. Service Representatives will also be expected to complete all required compliance documentation for wire transfer requests in order to minimize potential fraud. Successful representatives may also be asked to act in a mentor capacity for newly hired representatives.

S3 has a commitment to excellence and the highest standards of member service. Our values and beliefs are critical to the success and growth of the business and they were all created with a unique cultural foundation.

RESPONSIBILITIES

  • Respond to member and potential member phone inquiries on membership, products and services.
  • Navigate system applications as needed to resolve inquiries.
  • Provide timely, friendly, and accurate service in building member relationships; determine member eligibility; provide guidance to members in order to meet their financial needs.
  • Accurately verify, document, and process all member transactions.
  • Prioritize workload based on mandatory requirements and member service level agreements.
  • Safeguard member accounts and information for privacy and accuracy.
  • Resolve complaints by communicating with other departments and/or partners as needed.
  • Provide extraordinary service by resolving problems thoroughly.
  • Perform and process account maintenance, fulfillment requests, research requests, etc.
  • Work in collaboration with other team members
  • Recognize and escalate issues.
  • Email Inquiries: respond to, resolve and troubleshoot members’ questions /issues. Adhere to response time and quality goals.
  • Bill Payment: research and resolve complex payment issues. Interact with vendors, payees and members to research issues. Uncover root cause of problems, correct accounts and communicate actions taken to members. Educate members on proper use of service.
  • Other duties as assigned.

QUALIFICATIONS

  • Minimum of 2 years of Financial Institution or Customer Service experience.
  • College degree preferred or relevant work experience may be considered.
  • Basic computer knowledge in Microsoft environment and internet.
  • Strong analytical skills with a high degree of accuracy.
  • Ability to work flexible hours.
  • Ability to adhere to a pre-determined schedule
  • Positive attitude and team-oriented.
  • Exceptional verbal and written communication skills.
  • Ability to work in a multi-tasking environment.
  • Demonstrate member service skills.
  • Working knowledge of online banking systems and bill payment service.
  • Troubleshooting and problem-solving skills that potentially lead to process improvement

Company Description

The S3 corporate office is located in the Baltimore/Washington corridor, S3 Shared Service Solutions, LLC is a credit union service organization (CUSO) that is guided by a relentless focus to meet and exceed the expectations of the credit unions we serve. As a solutions-based operations support provider, our client base is comprised of leading financial institutions with combined assets in excess of $18 billion with over 900,000 members.

S3 implements and supports collaborative business solutions for our partner credit unions in the areas of Deposit Operations, Real Estate Lending, Consumer Lending, Collections, and Call Center Operations. Striving for excellence in everything we do, our goal is to deliver high-quality, cost-effective services to our credit union partners so they can invest in the futures of their organizations and most importantly, their members. #ZR