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Service Center Team Lead (Remote) 2023-1288
Company | Managed Care Advisors (MCA) |
Address | Greater Orlando, United States |
Employment type | FULL_TIME |
Salary | |
Category | Wellness and Fitness Services |
Expires | 2023-08-10 |
Posted at | 10 months ago |
Job Details
- Process incoming calls, faxes, and voicemails from claimants, providers, clients, attorneys, etc. resolving their provider-related questions and issues in accordance with designed guidelines and policies.
- Ensure that best practices and SLAs are met
- Work closely with managers and business analysts to identify opportunities for change to support continuous improvement.
- Provide coaching and mentoring to individual colleagues.
- Communicate with upper management regarding unit issues.
- Direct workflow and workload assignments to the team.
- Supervise Service Center Representatives, providing leadership, direction, and support.
- Provides a streamlined provider experience that includes both the initial relationship development and assisting a claimant in finding a physician.
- Monitor workloads and status
- Manage staffing schedules to ensure appropriate department coverage.
- Track trends, investigate escalations, balance workloads, and serve as a liaison with customers to assist with problem resolution.
- Assist members with day-to-day benefits and provider-related questions and/or issues
- Support colleagues by providing advice on handling complex issues.
- Performs other duties as assigned.
- High call center in and out-bound problem resolution
- Ensure processes and procedures are adhered to ensuring departmental objectives are met.
- Assist managers with escalated calls & inquiries
- Experience working in the Health Care industry and supervisory experience preferred
- Ability to meet or exceed Performance Competencies
- Analytical and interpretive skills
- Two (2) years of administrative and/or customer service experience or an equivalent combination of education and experience is required.
- Excellent interpersonal skills
- Strong organizational skills
- Good judgment and discretion skills
- Ability to manage multiple projects and set priorities
- PC literate, including Microsoft Office products
- Excellent negotiation skills
- Ability to work in a team environment
- Experience working in a Call Center Environment receiving in and outbound calls required
- Ability to manage reports and metrics
- Excellent oral and written communication skills
- Bachelor’s degree from an accredited college or university is preferred.
- Good interpersonal skills
- _Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action Employer_**
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