Customer Service Representative

3 weeks ago


Folsom, United States System Soft Technologies Full time

Customer Support Representative (Health Insurance/Benefits)

Folsom, CA


Summary

The Benefits Customer Support Representative (CSR) provides a high level of customer service in a call center environment. Provides support with questions regarding benefits and health care coverage.

Direct Hire position on first shift.


Responsibilities

  • Works on site with consistent attendance.
  • Answers telephone calls using the proper greeting.
  • Listens to client’s issues and clarifies the question or problem the client needs to find a resolution.
  • Provides information necessary to resolve client’s inquiry or problem.
  • Explains information in layman’s terms so that the client understands the information.
  • Demonstrates a high degree of empathy and applies customer service techniques to de-escalate situations where the caller is extremely upset.
  • Processes routine insurance changes such as adding dependent(s) or spouse, changing a doctor, and change of address.
  • Researches appropriate documents such as Summary Plan Documents to quote benefit correctly.
  • Researches information regarding claims.
  • Logs all details into the system using proper notation during the call.
  • Maintains a high degree of confidentiality and conforms to all applicable HIPAA provisions.
  • Maintains excellent attendance and punctuality and adheres to schedule


Qualifications

  • Excellent written and verbal communication skills.
  • Outstanding customer support experience over the phone
  • Must be dependable and maintain excellent attendance and punctuality
  • Call center experience in a medical/benefits environment highly preferred.
  • Medical/Benefits Experience highly desired.
  • UR/Claims/COBRA/FSA/Eligibility Experience preferred.
  • Strong analytical skills and problem-solving skills.
  • Subject-matter expert within field.
  • Ability to keep up with changes in information to Plan documents in order to quote benefits correctly.
  • Ability to grow with changing demands of the position and the company.
  • Strong computer skills, including Word, Excel, Outlook, and Power Point.

Education and/or Experience:

Must have Inbound Call Center experience or Medical and/or Insurance experience or a 4 year degree.


Excellent Benefits- Healthcare Premiums 100% paid for.



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