About The Position

This is a 100% inbound customer service environment, with no cold calling or prospecting required. Medica's Customer Service Representatives are the primary contact for members to resolve service inquiries for claims, enrollment, billing, pharmacy, as well as interpreting contracts, and explaining benefits. They work telephonically and are responsible for exceptional levels of service satisfaction, providing quality service, and the service recovery process. The service recovery process is critical, and our Customer Service Representatives will utilize this process to assist members in complex situations. Our customer service department offers a fast-paced and rewarding environment where you will receive 4-6 weeks of paid training, comprehensive benefits, and a supportive environment that fosters continual growth! Successful Customer Service Representatives build an amazing base of health plan and health claims knowledge that they leverage to be considered for career advancement opportunities throughout the Call Center and other areas of Medica's business.

Requirements

  • High School Diploma, GED or equivalent; equivalent work experience will be considered in lieu of educational requirement
  • 2+ years of customer service experience
  • Excellent verbal and written communication skills
  • Ability to deliver high quality service to Medica's members
  • Ability to interact with the team and support each other in dealing with customer issues
  • Advanced ability to multi task and manage time efficiently
  • Demonstrated ability to learn quickly and respond well to a rapidly changing industry and operational environment
  • Must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI.
  • Must be legally authorized to work in the United States at the time of application.

Nice To Haves

  • Customer Service experience in a Healthcare related setting preferred

Responsibilities

  • Resolve service inquiries for claims, enrollment, billing, and pharmacy.
  • Interpret contracts and explain benefits to members.
  • Provide exceptional levels of service satisfaction and quality service.
  • Utilize the service recovery process to assist members in complex situations.
  • Identify process improvements, provide mentor and peer feedback, and develop knowledge of multiple products and platforms.

Benefits

  • 4-6 weeks of paid training
  • Comprehensive benefits
  • Supportive environment that fosters continual growth
  • Career advancement opportunities
  • Competitive medical, dental, vision
  • PTO
  • Holidays
  • Paid volunteer time off
  • 401K contributions
  • Caregiver services
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