
Customer Service Representative
5 days ago
Position Summary:
- You will receive inbound calls from members who are enrolled in a Medicare, Medicare Advantage or Medicaid plan.
- Assist those members with taking orders for items sponsored by the plan, update account information, provide plan information and resolve issues with utilization of the plan benefit.
- Place outbound calls as directed and necessary for member resolution.
- Work takes place in a standard office environment. Position could be onsite or remote (if applicable).
- Position requires sitting for a long period of time using a computer.
- Tasks involve the ability to reach with hands and arms, talk and hear.
- Specific vision abilities required by this job include: close vision, distant vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Responsibilities:
- Update account information such as change of address or phone numbers.
- Research members that have a benefit disputes
- Educate members on how the plan works, including benefits, participating retail markets (if applicable) and
- items or products and services covered through the benefit.
- Submit catalog requests and retail card replacements to be mailed out upon member request.
- Educate and assist members with website registration, utilization and how to order through the online ordering app.
- Educate and assist members to use the mobile app.
- Make concise and detailed notations as it pertains to member records.
- Answer questions pertaining to mailings sent out by the Health plan.
- Communicate with coworkers, management, staff, customers, and others in a courteous and professional manner.
- Conform with and abide by all regulations, policies, work procedures and instructions.
- Respond promptly when returning telephone calls and replying to correspondence.
- Act, dress, and behave in a professional manner to reflect a positive image of the company.
Requirements:
- High school diploma or equivalent.
- Minimum 6 months customer service experience is preferred; no BPO experience candidates are accepted
- Above average computer skill is required, including the ability to work in a Windows environment and multitask within multiple software programs simultaneously.
- Communicate with coworkers, management, staff, customers, and others in a courteous and professional manner
- Conform with and abide by all regulations, policies, work procedures and instructions
- Knowledge of customer service best practices and principles.
- Excellent data entry and typing skills.
- Superior listening, verbal, and written communication skills
- Ability to handle stressful situations appropriately, while demonstrating empathy.
- Resourceful, great at solving unstructured problems with little to no supervision in a fast-paced, high stakes environment.
- Team Player: Demonstrates a strong ability to contribute to the business along with business unit team members and managers; establish collaborative relationships with peers.
- Possess strong interpersonal skills and the ability to establish, develop, and maintain business relationships.
- Excellent written and verbal skills
Job Types: Full-time, Permanent
Work Location: In person
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