Customer Service Representative
Responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims. Analyzes problems and provides information/solutions. Thoroughly documents inquiry outcomes for accurate tracking and analysis. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
Researches and analyzes data to address operational challenges and customer service issues. Provides external and internal customers with requested information. Receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature. Uses computerized systems for tracking, information gathering and troubleshooting. Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims.
Working hours: 8:00 AM - 5:00 PM
Requires a high school diploma; 1 year of related customer service experience; or any combination of education and experience, which would provide an equivalent background. Previous health insurance industry experience preferred. Advanced benefits, claims processing or membership knowledge preferred.
Some flexibility in schedule may be required between the hours of 8am - 8pm. Selected candidates will work 8 hour shifts within this range.
Selected candidates to start once screenings clear.
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