Customer Service Representative (Remote)
About The Position
HealthPlanOne's mission is to help people find the right health insurance at the right price, so they live healthier lives. We are committed to making the shopping process simpler. Our mission has never been more important than it is today. At Health Plan One, we are dedicated to providing exceptional support and care to our clients. Our mission is to ensure that our clients receive the best possible service, resources, and benefits available to them. We believe in making a positive impact on the lives of those we serve, and we are looking for individuals who share this passion. We are seeking a motivated and compassionate Customer Service Representative (CSR) to join our team. The CSR will play a crucial role in our Retention Calls, Health and Resource Assessment (HRA), and Enrollment Verification (EV) initiatives. This role requires excellent communication skills, a customer-focused attitude, and the ability to navigate complex situations with empathy and professionalism.
Requirements
- Previous experience in customer service, preferably in the healthcare or insurance industry.
- Strong communication and interpersonal skills.
- Ability to handle sensitive information with confidentiality.
- Proficiency in using SharePoint and other customer management tools.
- Problem-solving skills and the ability to think on your feet.
- A compassionate and patient approach to client interactions.
Nice To Haves
- High School Diploma or equivalent.
- Familiarity with CRM systems and practices.
- Prior experience with Medicare.
- Previous training and experience in or related to healthcare insurance.
Responsibilities
- Reach out to current clients to address their questions and needs.
- Focus on the 3 R’s of customer loyalty: retention, related sales, and referrals.
- Provide exceptional service to retain customers and encourage word-of-mouth marketing.
- Conduct thorough assessments to maximize the resources available to clients.
- Identify and provide additional benefits that clients may qualify for.
- Document and share impactful stories of client assistance on SharePoint under the "Make A Difference" folder.
- Collaborate with carriers to acknowledge and celebrate these success stories.
- Conduct Enrollment Verification calls with the following objectives: Verify that the customer understands the plan they enrolled in and its start date.
- Ensure accurate contact information is on file and capture the customer's email address.
- Confirm that the Agent of Record (AOR) has reviewed the customer's doctors and medications.
- Verify that the AOR has discussed out-of-pocket costs, including doctor visit copays, drug copays, and any applicable deductibles.
- Inform customers about what to expect in the coming weeks and ensure they know to contact us (not the carrier) with any questions.
Benefits
- Pre-employment drug testing and background checks are required as part of our hiring practices.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
