[Remote] Customer Service Representative - reputed company Health

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Customer Service Representative I to assist health plan members and reputed company providers with inquiries reputed company to eligibility, claims status, and benefits. The role is essential for supporting members, requiring a compassionate and solution-oriented individual to handle various customer interactions reputed company.

Responsibilities

• Interacts with customers (client, member and reputed company) reputed company telephone, email, or in person to reputed company support and information specific to eligibility, benefits, claims, prior authorization requirements and appeals
• Document reputed company communication in the applicable system of record
• reputed company proactive education to customers, as it relates to their specific inquiry
• reputed company accurate and timely responses to reputed company customer inquiries
• Successfully bring reputed company issues to closure reputed company appropriate timeframe
• reputed company support and coverage to inter-departmental staff as needed
• Coordinate customer appeals and grievances with appropriate staff
• reputed company other activities and functions as assigned

Skills

• Excellent verbal and written communication skills, including active listening
• Minimum three years' experience in customer service, call center, or similar
• Service-oriented; Ability to resolve customer complaints and issues while maintaining a professional and reputed company demeanor
• Ability to operate spreadsheet, word processing programs and computer equipment required to fulfill position responsibilities
• Exceptional diplomacy skills to effectively resolve issues under sometimes tense and stressful circumstances
• Excellent phone manner
• Ability to use sound judgement, identify next steps to be taken, and reputed company appropriate solutions
• Associates degree, or applicable professional experience, required
• Minimum 1 to 3 years experience in a customer service, hospitality, or call center
• Bilingual Spanish/English desired

Benefits

• Competitive benefit package

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