Customer Service Representative I - SHP (Remote within SHP Service Area)

Marshfield Clinic Health System • Marshfield, WI

2d • Remote

About The Position

The Customer Service Representative I - Security Health Plan (SHP) primary responsibility is to ensure positive customer interactions with one major product line (Medicare Advantage or Commercial/Marketplace) of Security Health Plan’s members. The individual will interact with members, applicants, providers, and agents via telephone. The Customer Service Representative I - SHP will identify the customer’s concern and appropriately research and resolve the inquiry in a timely manner. This is a basic learning phase and will be continually trained and coached to enhance customer service skills. The Customer Service Representative I - SHP will escalate complex issues to a Benefit Specialist.

Requirements

• Two years’ experience with customer service.
• Demonstrated proficiency with handling high-pressure situations and with verbal and written communication.
• Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.
• Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.

Nice To Haves

• Associate or Bachelor’s Degree in business administration.
• Experience working in a health insurance call center.
• State of Wisconsin Insurance Agent’s license.

Responsibilities

• Ensure positive customer interactions with one major product line (Medicare Advantage or Commercial/Marketplace) of Security Health Plan’s members.
• Interact with members, applicants, providers, and agents via telephone.
• Identify the customer’s concern and appropriately research and resolve the inquiry in a timely manner.
• Escalate complex issues to a Benefit Specialist.

Benefits

• Positions listed as 30 hours per week or greater are offered the level 1 benefit package.
• Positions listed as 20 – 29 hours per week are offered the level 2 benefit package.
• Positions listed as less than 19 hours per week are non-benefited.
• Benefits for temporary positions vary. Details will be discussed in the interview process.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees