Customer Service Representative III
About The Position
Provide superior customer service for all areas as it pertains to research and resolution of telephone inquiries related to Plan benefits, eligibility, claim payment issues, or patient scheduling, referral, or billing issues. Provide quality service and customer satisfaction through effective communication and education. Supports the division's strategies specific to customer satisfaction. Serves as a resource and mentor to Customer Operations staff. Assists Supervisors and Performance Measurement Analysts (PMAs) with researching and resolving service issues. Utilizes relevant critical, technical, functional skills to fulfill individual, departmental and organizational objectives. Identifies system and process issues and makes suggestions for improvement.; Knowledgeable in various software applications such as Word, Excel, Access. Assists with special projects and assignments.
Requirements
- 3 years customer service experience required
- 1 Year data entry experience
- HS - High School Grad or Equivalent
Responsibilities
- Provide superior customer service for all areas as it pertains to research and resolution of telephone inquiries related to Plan benefits, eligibility, claim payment issues, or patient scheduling, referral, or billing issues.
- Provide quality service and customer satisfaction through effective communication and education.
- Supports the division's strategies specific to customer satisfaction.
- Serves as a resource and mentor to Customer Operations staff.
- Assists Supervisors and Performance Measurement Analysts (PMAs) with researching and resolving service issues.
- Utilizes relevant critical, technical, functional skills to fulfill individual, departmental and organizational objectives.
- Identifies system and process issues and makes suggestions for improvement.
- Knowledgeable in various software applications such as Word, Excel, Access.
- Assists with special projects and assignments.
Benefits
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- Paid Time Off and Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term, Short-Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down – $10,000
- Reimbursement for certifications and free access to complete CEUs and professional development
- Pet Insurance
- Legal Resources Plan
- Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
