Remote Customer Service Representative ($20.00 / Hour)

Advantages Of Joining Employer

Joining Employer offers numerous advantages for prospective candidates. As part of our team, you will have the opportunity for long-term career success, with limitless potential for growth. We value the hard work and dedication of our employees, and reward them accordingly. As a leading staffing and consulting firm, we provide high-caliber talent and premium services to over 7,000 companies across North America. Join us and be part of a company that is dedicated to expanding career opportunities for skilled professionals like yourself.

Job Responsibilities

• Comply with established criteria for response time, handling time, availability, and call flow.
• Provide excellent customer service to all members and customers via phone.
• Stay current and knowledgeable on general plan design and modifications.
• Receive incoming calls from members, providers, facilities, employer groups, and other affiliates and departments.
• Navigate multiple computer programs to achieve first call resolution.

Key Duties

• Stay conversant on all plans, including covered/not covered services, experimental and investigative procedures, as well as new plan designs, modifications, and documentation updates.
• Document customer history in member tracking system with correct codes and detailed comments.
• Educate callers on correct use of their plans, including coverage of benefits, utilization, and administrative guidelines.
• Maintain the confidentiality of members' personal information.
• Make exception/empowerment decisions within established exception policy.

Additional Information

Please Note: Scammers are posing as Employer. We will never contact you via Gmail, Telegram, or WhatsApp, and we will never solicit money from you.

Employer is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email [email protected] for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

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