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Customer Care Associate, Geisinger Health Plan

3 months ago


Danville, United States Geisinger Full time

**Job Summary**: Geisinger Health Plan is now hiring full-time Customer Care Associates for our August 2024 (8/12/2024) training class. If you are looking for an ENTRY LEVEL opportunity to begin a career in healthcare where you can grow not only in our health plan but also Geisinger health system, please apply.

**Job Duties**:
The Customer Care Associate is the main point of contact a customer makes with the health plan. Provides exceptional customer service to customers by answering questions and/or resolving concerns through appropriate education, information, and follow-up.
- Provides customers with knowledge of plans, products, systems, and processes to resolve customer issues/concerns.
- Serves as primary contact for customers.
- Maintains strong relationships with customers through telephone contact, written correspondence, electronic messaging and onsite visits.
- Investigates all concerns/issues to assure accurate information is provided in a timely manner. Provides resolution for all customer concerns and inquiries.
- Communicates and coordinates with the appropriate internal departments to resolve customer concerns.
- Documents and codes accurately all inquiries/concerns.
- Provides customers with the complaint/appeal and grievance process.
- Documents complaint/appeal and grievances and forwards to the appropriate team for processing.
- Completes outbound calls to customers to resolve complex benefit, eligibility, premium, pharmacy, claims or other related issues.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

**Position Details**:
**Work Schedule/Hours**:

- Standard Business Hours are 9am - 8pm EST, Monday through Friday and 8am-2pm EST Saturdays.
- Peak Business hours (Open Enrollment season October - March) are 9am - 8pm EST Monday through Sunday
- Available Shifts vary based on business need between the hours of 9am - 8pm EST
- During peak business times, and new election periods, extended hours are included in standard schedules.
- Weekend scheduled hours are included with an equivalent day off during the week or additional hours based on business need.
- Shifts are determined based on business need & operational metrics including hired date.
- Shifts can change based on business need and process will be discussed during the interview & hiring process.

**Internet requirements**:
**Employee required to have/supply: Cable modem, (high speed, only - No DSL or Wireless Cellular Service or Satellite Service) The minimum requirement is**:

- **5 MBPS UP**:

- **20 Mbps DOWN**:

- **