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Customer Service Representative Medicaid
3 months ago
Job Title:
Customer Service Representative Medicaid
Location:
Fully remote in Illinois
Duration:
6 months contract
Job Description:
Customer Service Representative is the face and impacts members service experience by manner of how customer service inquiries and problems via telephone, internet or written correspondence are handled. Customer inquiries are of basic and at times complex nature. Engages, consults and educates members based upon the member's unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear path to care.
Responsibilities:
Identifying and processing different types of documents and routing them to the correct area for processing.
Processing returned mail and updating members addresses.
Meet monthly established quality and productivity goals on a consistent basis
Follow work instructions regarding enrollment tasks
Develop fixture and merchandise layouts that accurately reflect required product mix based on store location and clientele. Includes identifying stores within a growing number of cluster definitions (i.e., ethnicity, affluence, geography, etc.) that ultimately drive automated product replenishment.
Analyze, prioritize and summarize data, and compare to company standards in such a way that identifies opportunities on a store specific basis.
Interact with Regional Sales Manager to confirm store specific analysis (e.g., sales, competition, ethnicity of clientele, etc.) in an effort to maximize individual store profit; and to confirm product mix, category adjacency and service issues as they relate to customer needs
Experience:
Aleast 1 years of overall related experience of Center for Medicare/Medicaid Services (CMS) guidelines for Medicare Part D enrollment processes or previous work experience in regulatory environment.
Skills:
Customer support
Call handling experience.
Medicaid/ Medicare
Education:
Verifiable High School diploma or GED required.
Estimated Salary: $20 to $28 per hour based on qualifications.