Post by Admin on Jun 10, 2017 8:35:26 GMT -5
Job Description:
Member Service representatives are responsible for handling inbound phone calls from members with a Medicare Supplement contract with questions on claims, premiums, and membership. Duties may also include written correspondence and management of follow up work. This position will not be responsible for selling products.
THIS POSITION WILL REQUIRE SIX WEEKS OF TRAVEL FOR TRAINING
General Duties:
Research, resolve and respond to inquiries and correspondence via telephone and/or written communication. Inquiries will be from members and providers regarding a diverse range of topics including, but not limited to, contract benefits, changes in coverage, eligibility, claims, provider networks, payments and appeals
Uses critical thinking skills to determine course of action needed to resolve inquiry or complaint
Must be comfortable being monitored for level of efficiency, accuracy, and customer satisfaction and must be able to meet performance standards to achieve both individual and department goals
Must be able to communicate effectively with appropriate tone and content
Must be able to balance workload to ensure timely and accurate response to both internal and external customers
Initiate claims adjustments and update enrollment information through the on-line systems as determined necessary through inquiries
Must demonstrate the ability to listen, talk, type and perform research simultaneously using various research channels, both online and hard copy
Ability to provide education to our members and provider on various avenues available to them to obtain information such as the website
Promote good working relations and positive work environment while acting as a role model to coworkers
Communication by telephone and direct contacts will consume 95% of the work day. Work on a personal computer (PC) will consumer at least 95% of the day in a stationary position
Must be able to maintain confidentiality
Regular and predictable attendance is an essential job function as defined by policy
Must comply with and implement corporate information security policies, standards, and guidelines relative to access control
Required Skills/Experience:
Minimum one year of customer service experience in a call center handling Medicare and/or Medicare Supplement plans required
Two years of experience navigating multiple computer systems preferred
High school education or its equivalent required.
Detailed knowledge of contracts, benefit coding, enrollment regulations, and legal issues such as HIPAA, COBRA, OBRA, and MSP are required upon completion of training
Excellent customer service skills, problem solving skills and organizational skills are required
Must be comfortable working individually in a structured environment
Proficiency in Grammar, Spelling, Typing and Basic Math are required.
Excellent human relations and communication skills are required with the ability to interact positively with external customers and all levels of internal staff
Previous experience working from home is preferred
Job Type: Temporary
READY 2 APPLY CLICK Here
Member Service representatives are responsible for handling inbound phone calls from members with a Medicare Supplement contract with questions on claims, premiums, and membership. Duties may also include written correspondence and management of follow up work. This position will not be responsible for selling products.
THIS POSITION WILL REQUIRE SIX WEEKS OF TRAVEL FOR TRAINING
General Duties:
Research, resolve and respond to inquiries and correspondence via telephone and/or written communication. Inquiries will be from members and providers regarding a diverse range of topics including, but not limited to, contract benefits, changes in coverage, eligibility, claims, provider networks, payments and appeals
Uses critical thinking skills to determine course of action needed to resolve inquiry or complaint
Must be comfortable being monitored for level of efficiency, accuracy, and customer satisfaction and must be able to meet performance standards to achieve both individual and department goals
Must be able to communicate effectively with appropriate tone and content
Must be able to balance workload to ensure timely and accurate response to both internal and external customers
Initiate claims adjustments and update enrollment information through the on-line systems as determined necessary through inquiries
Must demonstrate the ability to listen, talk, type and perform research simultaneously using various research channels, both online and hard copy
Ability to provide education to our members and provider on various avenues available to them to obtain information such as the website
Promote good working relations and positive work environment while acting as a role model to coworkers
Communication by telephone and direct contacts will consume 95% of the work day. Work on a personal computer (PC) will consumer at least 95% of the day in a stationary position
Must be able to maintain confidentiality
Regular and predictable attendance is an essential job function as defined by policy
Must comply with and implement corporate information security policies, standards, and guidelines relative to access control
Required Skills/Experience:
Minimum one year of customer service experience in a call center handling Medicare and/or Medicare Supplement plans required
Two years of experience navigating multiple computer systems preferred
High school education or its equivalent required.
Detailed knowledge of contracts, benefit coding, enrollment regulations, and legal issues such as HIPAA, COBRA, OBRA, and MSP are required upon completion of training
Excellent customer service skills, problem solving skills and organizational skills are required
Must be comfortable working individually in a structured environment
Proficiency in Grammar, Spelling, Typing and Basic Math are required.
Excellent human relations and communication skills are required with the ability to interact positively with external customers and all levels of internal staff
Previous experience working from home is preferred
Job Type: Temporary
READY 2 APPLY CLICK Here