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Representative, Customer Service L (Remote In Va/Dc/Md)

Company

Kaiser Permanente
Address , Fulton
Employment type FULL_TIME
Salary $26.40 - $31.45 an hour
Expires 2023-09-09
Posted at 9 months ago
Job Description
The Customer Service Representative is responsible for increasing customer satisfaction and retention by providing members, customers, patients and providers with accurate, consistent, timely and meaningful information. They will provide support to member's inquiries and issues as they utilize the KP plan and provider services, continuing to build rapport and collaborative relationships with current and prospective members in accordance with compliance guidelines.

Essential Responsibilities:

Available to handle member inquiries regarding:
  • Ability to understand relevant policies, processes and customers.
  • Performs other relevant duties as required.
  • Member Core: Facility Inquiry, Web Support, Promote KP.Org, Order ID Card, Complaint, ID Card Inquiry, Service Review.
  • Has substantial understanding of the assigned skills and applies knowledge and skills to complete a wide range of tasks.
  • Initiates contact with the appropriate Health Plan, medical group and facility personnel to obtain information relevant to the concern or inquiry as needed.
  • Premium Billing Enterprise: Billing Inquiry, Make Payment, Complaint, EFT Inquiry, General, Reinstatement Request, Service Review,
  • Required to effectively interact with diverse work units and relevant organizational departments.
  • Responds professionally to inquiries from internal/external customers.
  • Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintains the privacy and confidentiality of information, and protects the assets of the organization.
  • Completes required training and understand how to use tools available to recall necessary information.
  • Member Adv.: Eligibility Inquiry, Benefit Inquiry, General, Complaint, Correspondence Inquiry, Add/Remove Dependent, Service Review, New Member Experience, Internal Regional Request, IVR Defaults
  • Medicare (For up to two (2) regions.)
  • Documents according to procedure.
  • KPC Billing, 1095 Tax Form, SLP* (escalations to Tier 3)
  • Promotes, ensures and provides customer service to internal/external customers by demonstrating skills which are consistent with the organization's philosophy of providing extraordinary customer relations and quality service.
  • Evaluates data to determine and implement the appropriate course of action to resolve the complaint and/or coordinate service recovery.
  • Represents Health Plan by answering and documenting all incoming contacts to determine their nature and to respond to complex calls related to specialized product lines or queues.
  • Assist the department in meeting customer needs and reaching department expectations.
  • Develop a full awareness of the way performance and actions affect members and Member Service Contact Center's (MSCC) performance guarantees (call handling, first call resolution, complaint resolution compliance, member retention, and return contact as warranted).
  • Follows established procedures to meet customer/member needs.

Schedule: Mon, Tue, Thu, Fri 12:30PM-9:00PM, Sun 10:30AM-7:00PM

REMOTE/VIRTUAL WORK ENVIRONMENT FOR MD, DC and VA-RESIDENTS-(Must be willing to drive to the Member Services Contact Center location in Fulton, MD, for equipment pick up, technical issue and training and development).-

Basic Qualifications:

Experience
  • Minimum two (2) years of customer service experience required.

Education
  • High School Diploma or General Education Development (GED) required.

License, Certification, Registration
  • N/A

Additional Requirements:
  • Minimum typing speed of 30 WPM (Typing test must be current within one (1) year of the posting period).
  • Must pass Classification Assessment.
  • Demonstrated analytical and problem-solving skills.
  • Excellent written and verbal communication skills.
  • Ability to read and respond briefly, clearly and effectively.
  • Working knowledge of systems used within the MSCC.
  • Ability to think critically and problem solve.

Preferred Qualifications:
  • Health insurance experience preferred.
  • Call center experience preferred.

PrimaryLocation : Maryland,Fulton,Maple Lawn Call Center
HoursPerWeek : 40
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri
WorkingHoursStart : 12:45 PM
WorkingHoursEnd : 09:15 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : M40|OPEIU|Local 2
Job Level : Individual Contributor
Job Category : Customer Services
Department : CSC Maple Lawn - Contact Center-Maple Lawn - 0315
Travel : No
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.