Healthcare Customer Service Representative

TEKsystems•Salem, OR

1d•$19 - $19•Onsite

About The Position

This role focuses on providing excellent customer service to Medicare Advantage members. Responsibilities include assisting with coverage and claims-related questions, accurately interpreting benefits and policy provisions for all products, and conducting research and follow-up for prompt resolution. The position requires working efficiently in a high-volume call center while maintaining a professional and polite manner. Additionally, the role involves researching, investigating, and triaging customer issues of concern and dissatisfaction, and advocating for the customer by explaining benefits in a detailed and courteous manner.

Requirements

Tech savvy
Call center experience and understanding metrics/expectations
Computer literacy
Excellent phone etiquette and professional demeanor
Understand how to resolve customer service issues effectively and efficiently
Empathy is crucial for success in this role

Nice To Haves

Prior healthcare experience is preferred

Responsibilities

Provide excellent customer service to all Medicare Advantage members.
Assist with coverage and claims related questions.
Accurately interpret benefits and policy provisions for all products.
Conduct research and follow-up for prompt resolution.
Work efficiently in a high volume call center while maintaining a professional, polite manner.
Research, investigate and triage customer issues of concern and dissatisfaction as assigned.
Advocate for the customer: explain benefits in a detailed and courteous manner so they are understood.