Healthcare Customer Service Representative

TEKsystems • Salem, OR

2d • $19 - $19 • Onsite

About The Position

The Customer Service Representative - Medicare Advantage plays a vital role in ensuring outstanding service for all members. This position requires exceptional communication skills, empathy, and a commitment to resolving member concerns efficiently. The role is integral to maintaining high member satisfaction by providing accurate information, proactive solutions, and courteous support in a high-volume call center environment.

Requirements

• Proven experience in a call center environment with a solid understanding of performance metrics and expectations.
• Strong computer literacy and ability to quickly learn and navigate various systems and platforms.
• Exceptional phone etiquette and 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.
• Flexible and adaptable 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 with professionalism and empathy.
• Assist members with coverage and claims-related questions, ensuring clarity and understanding.
• Accurately interpret and explain policy provisions and benefits for all products to members.
• Conduct thorough research and follow up promptly to resolve member issues efficiently.
• Maintain composure and a courteous demeanor while handling high call volumes in a fast-paced environment.
• Investigate, triage, and resolve member dissatisfaction and issues of concern as assigned.
• Advocate for members by explaining benefits in a detailed, comprehensive manner tailored to their needs.
• Collaborate with team members to achieve departmental goals and ensure seamless member support.
• Uphold company standards of professionalism, punctuality, and adherence to call center metrics and expectations.

Benefits

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed