Description
Location
- Ensure effective customer relations by responding accurately, timely and courteously to telephone inquiries. Accurately documents inquiries.
- Initiate minor/clerical adjustments based on provider request or processes adjustments or perform other research as needed to resolve inquiries. Coordinate with other departments to resolve problems. Respond to, research and/or assist with priority inquiries and special projects as required by management.
- Provide feedback to management regarding customer problems, questions and needs. Maintain accurate records on complaints and/or other customer comments and make recommendations for changes to management. Follow through on complaints until resolved or report to management as needed.
- Maintain basic knowledge of quality work instructions and company policies. Assist with process improvements through the recommendation of changes in procedures and techniques discovered during daily operations. Maintain all departmental productivity, quality, and timeline standards.
- Identify and promptly report and/or refer suspected fraudulent activities and system errors to the appropriate departments.
- Must be able to speak Spanish and English
- High school diploma or equivalent
- 1 year of claims processing OR Customer Service experience OR Bachelor's Degree in lieu of work experience.
- You must be able to answer phone calls, diagnose problems, inform stakeholders, listen careful, and explain benefits, procedures, etc.
- Excellent verbal communication skills
- Strong human relations and organizational skills
- Ability to handle high stress situations
- Good judgment skills
- Strong Customer Service skills
- Ability to learn and operate multiple computer systems effectively and efficiently
- Basic computer operating skills. Standard office equipment
- 401(k) retirement savings plan with company match
- Subsidized health plans and free vision coverage
- Life insurance
- Paid annual leave – the longer you work here, the more you earn
- Nine paid holidays
- On-site cafeterias and fitness centers in major locations
- Wellness programs and healthy lifestyle premium discount
- Tuition assistance
- Service recognition
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.