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Customer Service Call Center Representative

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*****FULL AND PART TIME OPPORTUNITIES AVAILABLE****
*****ONCE IN OFFICE TRAINING IS COMPLETED, HYBRID WORK SCHEDULE IS AN OPTION. THIS POSITION DOES NOT HAVE THE OPTION TO BE 100% REMOTE*****

The Customer Service Call Center Representative is responsible for assisting members and clients with service inquiries, claim status and interpretation of plan descriptions and plan documents via the telephone.

Customer Service Functions:

· Develop and strengthen relationships with members and clients through phone contact and call resolution.

· Service up to 100 calls per day.

· Provide benefits, status and claim inquiry to callers.

· Effectively utilize all customer service tools available.

· Take an active role in claims and customer service meetings.

· Medical/HRA/HSA/Dental/Vision/Flex/STD self-insured knowledge is essential

· Benefit interpretation knowledge of a Summary Plan Description and a Plan Document.

· Support the Operations Service team as it relates to mutual goals of the company.

Administrative Duties:

· Complete all requested inquiries of the Claims/Customer Service Area.

· Assist Account Managers with client service inquiries, when applicable.

· Other duties as assigned.

Qualifications Required

· Demonstrated excellent communication skills, both verbal and written.

· Preferably 1-2years’ experience in the healthcare/insurance field with preferred knowledge of medical insurance terminology (WILLING TO TRAIN THE RIGHT CANDIDATE).

· Professional phone voice and superior attitude is required.

· Excellent attendance record

Education and/or Experience

· Minimum 1-year experience within a call center where customer service and the overall member experience is the priority.

**NoAgency calls, please.**

Work Remotely

  • No

This Job Is Ideal for Someone Who Is:

  • Dependable -- more reliable than spontaneous
  • Autonomous/Independent -- enjoys working with little direction
  • People-oriented -- enjoys interacting with people and working on group projects

Job Types: Full-time, Part-time

Schedule:

  • 8 hour shift

Application Question(s):

  • Are you willing to undergo a background check, in accordance with local law/regulations?

Experience:

  • Communications: 5 years (Preferred)
  • relevant: 5 years (Preferred)
  • Call Center: 5 years (Preferred)
  • Insurance: 5 years (Preferred)
  • Customer Service: 5 years (Preferred)
  • Healthcare: 5 years (Preferred)
  • Medical Terminology: 5 years (Preferred)
  • Phones: 5 years (Preferred)

Work Location: In person

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