Customer Service Representative

Location: Troy, MI
Date Posted: 08-31-2018
CareNational
Customer Service Representative - Health Plan
Troy, MI
 
*** This is a Full-Time, Benefits Available, CONTRACT-TO-HIRE opportunity,
expected to convert into a PERMANENT role after around 6 months! ***
 
Customer Service Job Summary: 
  • Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner.
  • Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
  • Provide assistance to members and/or providers regarding website registration and navigation
  • Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
  • Process written customer correspondence and provide the appropriate level of timely follow up
  • May coordinate member transportation and make referrals to other departments as appropriate
  • Maintain performance and quality standards based on established call center metrics including turn-around times
  • Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
  • Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction 
Customer Service Background:  
  • Requires an education level of at least a high school diploma or GED.
  • 1-2 years customer service experience with around 1 year experience in an call center setting, or phone support role.
  • Some healthcare experience is strongly preferred.
  • Ability to multi-task duties as well as the ability to understand multiple products and multiple levels of benefits within each product.
  • Computer skills to include Microsoft Word, Excel and basic data entry, including the ability to learn new and complex computer system applications.
  • Must test at a minimum of 35 - 40 wpm typing with a high level of accuracy.
  • Basic computer literacy (MS Office) and typing skills are necessary.
  • Bilingual in English and Spanish is a plus.
 
 
  #ADMIN
DAVID DIVITO
DIVISION DIRECTOR
CareNational
david@carenational.com
480.425.2451 (CALL – TEXT – FAX)
Get Informed with CareNational.tv
Managed Care News and more!
CareNational.com
Sign-Up for Job Alerts
 
or
this job portal is powered by CATS