Healthcare Customer Service Representative

TEKsystems • Salem, OR

6d • $19 - $19 • Onsite

About The Position

The Customer Service Representative - Medicare Advantage plays a vital role in ensuring outstanding service for members. The role requires exceptional communication skills, empathy, and a commitment to resolving member concerns efficiently. It helps maintain high member satisfaction by providing accurate information, proactive solutions, and courteous support in a high-volume call center environment. The position is based onsite in Salem, Oregon, and is contract to hire.

Requirements

• Proven experience in a call center environment with a solid understanding of performance metrics and expectations.
• Strong computer literacy and the ability to quickly learn and navigate various systems and platforms.
• Exceptional phone etiquette and a professional demeanor in all interactions.
• Demonstrated ability to resolve customer service issues effectively and efficiently.
• Strong empathy and a member-focused approach to problem-solving and communication.
• Flexibility and adaptability to evolving processes and priorities in a high-demand environment.

Nice To Haves

• Prior healthcare experience is preferred but not required.

Responsibilities

• Deliver excellent customer service to Medicare Advantage members, addressing inquiries and concerns professionally and empathetically.
• Assist members with coverage and claims-related questions, ensuring clarity and understanding.
• Interpret and explain policy provisions and benefits for all products accurately.
• Research member issues thoroughly and follow up promptly to resolve them efficiently.
• Maintain composure and a courteous demeanor while handling high call volumes in a fast-paced environment.
• Investigate, triage, and resolve member dissatisfaction and assigned issues of concern.
• Advocate for members by explaining benefits in a detailed, comprehensive manner tailored to their needs.
• Collaborate with team members to achieve departmental goals and provide seamless member support.
• Uphold company standards of professionalism, punctuality, and adherence to call center metrics and expectations.

Benefits

• Medical, dental, and vision coverage, if eligible.
• Critical illness, accident, and hospital coverage, if eligible.
• 401(k) retirement plan with pre-tax and Roth post-tax contributions available, if eligible.
• Voluntary life insurance and AD&D coverage for the employee and dependents, if eligible.
• Short- and long-term disability coverage, if eligible.
• Health Spending Account (HSA), if eligible.
• Transportation benefits, if eligible.
• Employee Assistance Program, if eligible.
• Time off or leave, including PTO, vacation, or sick leave, if eligible.

What This Job Offers

• Career Level: Entry Level
• Education Level: No Education Listed