Health Plan Navigator I - Keaau

HMSA•Keaʻau, HI

37d

About The Position

This role involves assisting customers via phone and other channels, ensuring timely and accurate service. The Health Plan Navigator I will learn and apply knowledge of HMSA plans, resolve customer inquiries, and document cases. The position requires participation in training, handling various communication methods, and performing assigned duties.

Requirements

Associate's degree or equivalent combination of education and work experience.
Effective verbal and written communication skills.
Basic working knowledge of Microsoft applications, including but not limited to Word, Excel, Outlook, and PowerPoint.
Intermediate PC knowledge and navigation proficiency.

Responsibilities

Assist customers in a timely and accurate manner in phone interactions.
Maintain quantity, timeliness, accuracy, and quality performance within established standards.
Conduct research for routine inquiries.
Apply basic analytical and problem-solving skills to resolve customer inquiries and issues.
Research relevant information and make recommendations.
Manage inventory of inquiries and coordinate with departments.
Resolve servicing interactions by documenting and closing customer cases.
Work with peers, management, and HMSA business areas to bring accurate and quality resolution for customers.
Participate in training to learn the foundation and basics of servicing HMSA's customers.
Participate in training to be proficient in servicing at least two HMSA plans.
Participate in servicing customers through options other than the phone, such as written or online inquiries, in-person servicing, or performing off-line data or project work.
Perform all other miscellaneous responsibilities and duties as assigned or directed.