Customer Service Representative

  • location: New York, NY
  • type: Contract
  • salary: $20.15 per hour
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job description

Customer Service Representative

job summary:
JOB SUMMARY

  • Responds to member and provider inquiries (phone, written or walk in) regarding all aspects of company's business including claims in a professional, timely, accurate and caring manner while consistently meeting all guidelines.
ESSENTIAL FUNCTIONS ---- Note: The following is not intended to be an exhaustive list of all duties required of this position ---- Key Duties and Responsibilities

  • Responds to member. provider and other inquiries via telephone, correspondence or lobby walk-in while meeting all corporate guidelines and performance standards.
  • Demonstrates appropriate customer-care skills such as empathy. active listening. courtesy, politeness, helpfulness and other skills as identified.
  • Records, investigates and resolves member complaints as detailed in the Grievance Procedure narrative.
  • Assists in the education of new members and in the re-education of existing members regarding health plan procedures.
  • Logs, tracks and appropriately documents all issues utilizing on-line systems and procedures and in accordance with all applicable guidelines and requirements.
  • Makes decisions that are consistent with the concept of a win-win-win for members, associates and company.-
  • Demonstrates based behaviors such as initiative, accountability and value.
  • Performs skills necessary to create a high-quality customer experience as reflected through acceptable C-Sat scores quality monitors and member feedback.
  • Performs other duties as assigned.
Additional Position Responsibilities- Optional ---- ---- MINIMUM QUALIFICATIONS

Education ---- State the minimum required for the job ---- Education Level Education Details Required/Preferred

  • A High School or GED Required---or equivalent work experience Required
Work Experience ---- State the minimum required for the job ---- Experience Level Experience Details Required/Preferred

  • 6 months of experience in relevant work Required
  • Other Previous experience in a call center or customer service environment Preferred ----
Licenses and Certifications ---- List professional licenses and certifications associated with this job ---- Licenses/Certifications Other Licenses/Certifications Required/Preferred

  • Other Customer service, quality or training certifications Preferred
Skills ---- State the minimum required for the job ---- Skill Sets Other Skills Proficiency

  • Demonstrated written communication skills Advanced-
  • Demonstrated interpersonal/verbal communication skills Advanced
  • Ability to multi-task Ability to multi-task. good organizational and time management skills Advanced
  • Demonstrated organizational skills Intermediate
  • Demonstrated time management and priority setting skills Intermediate
  • Ability to effectively present information and respond to questions from peers and management Intermediate
  • Ability to create review and interpret treatment plans Intermediate
  • Other Ability to act on feedback provided by showing ownership of his or her own development Intermediate
  • Other Ability to read. analyze. and interpret verbal and written instructions Intermediate
  • Other Seeks to build trust, respect and credibility with all partners through full. honest,consistent and coordinated communication Intermediate
  • Other Ability to define problems, collect data, establish facts and draw valid conclusions Intermediate
Technology ---- List technical skills associated with the job ---- Technology Other Technology Proficiency Required/Preferred

  • Microsoft Outlook Intermediate Required
  • Microsoft Word Intermediate Required
  • Microsoft Excel Intermediate Required
Languages ---- List all that apply ---- Languages Other Languages Required/Preferred

Candidate should speak Cantonese or Mandarin fluently

 
location: New York, New York
job type: Contract
work hours: 8 to 5
education: Bachelor's degree
experience: 1 Years
 
responsibilities:
ESSENTIAL FUNCTIONS ---- Note: The following is not intended to be an exhaustive list of all duties required of this position ---- Key Duties and Responsibilities

  • Responds to member. provider and other inquiries via telephone, correspondence or lobby walk-in while meeting all corporate guidelines and performance standards.
  • Demonstrates appropriate customer-care skills such as empathy. active listening. courtesy, politeness, helpfulness and other skills as identified.
  • Records, investigates and resolves member complaints as detailed in the Grievance Procedure narrative.
  • Assists in the education of new members and in the re-education of existing members regarding health plan procedures.
  • Logs, tracks and appropriately documents all issues utilizing on-line systems and procedures and in accordance with all applicable guidelines and requirements.
  • Makes decisions that are consistent with the concept of a win-win-win for members, associates and company.-
  • Demonstrates based behaviors such as initiative, accountability and value.
  • Performs skills necessary to create a high-quality customer experience as reflected through acceptable C-Sat scores quality monitors and member feedback.
  • Performs other duties as assigned.
 
qualifications:
Additional Position Responsibilities- Optional ---- ---- MINIMUM QUALIFICATIONS

Education ---- State the minimum required for the job ---- Education Level Education Details Required/Preferred

  • A High School or GED Required---or equivalent work experience Required
Work Experience ---- State the minimum required for the job ---- Experience Level Experience Details Required/Preferred

  • 6 months of experience in relevant work Required
  • Other Previous experience in a call center or customer service environment Preferred ----
Licenses and Certifications ---- List professional licenses and certifications associated with this job ---- Licenses/Certifications Other Licenses/Certifications Required/Preferred

  • Other Customer service, quality or training certifications Preferred
Skills ---- State the minimum required for the job ---- Skill Sets Other Skills Proficiency

  • Demonstrated written communication skills Advanced-
  • Demonstrated interpersonal/verbal communication skills Advanced
  • Ability to multi-task Ability to multi-task. good organizational and time management skills Advanced
  • Demonstrated organizational skills Intermediate
  • Demonstrated time management and priority setting skills Intermediate
  • Ability to effectively present information and respond to questions from peers and management Intermediate
  • Ability to create review and interpret treatment plans Intermediate
  • Other Ability to act on feedback provided by showing ownership of his or her own development Intermediate
  • Other Ability to read. analyze. and interpret verbal and written instructions Intermediate
  • Other Seeks to build trust, respect and credibility with all partners through full. honest,consistent and coordinated communication Intermediate
  • Other Ability to define problems, collect data, establish facts and draw valid conclusions Intermediate
Technology ---- List technical skills associated with the job ---- Technology Other Technology Proficiency Required/Preferred

  • Microsoft Outlook Intermediate Required
  • Microsoft Word Intermediate Required
  • Microsoft Excel Intermediate Required
 
skills: Other
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

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