Call Center Representative

1 week ago

New York, United States General Vision Services, LLC. Full time

As a Call Center Representative focused on vision insurance, you will be an essential link between our organization and our valued members. Your role will involve providing exceptional customer service, addressing inquiries related to vision benefits, and ensuring a seamless experience for our policyholders and vendors.

**Responsibilities**:

- Inbound and Outbound Calls: Handle calls from providers, members, and their families, assisting them with appointment scheduling, benefit inquiries, and other vision insurance-related matters.
- Benefit Details: Provide members and providers with accurate details regarding vision benefits, including coverage, co-payments, and pre-authorizations.
- Appointment Coordination: Assist members in scheduling vision appointments, coordinating with store staff to ensure timely and appropriate care.
- Coverage Verification: Verify insurance coverage under various plans.
- Problem Resolution: Address complaints, queries, resolve issues, and escalate complex cases to the appropriate channels when necessary.
- Maintain Records: Keep detailed records of interactions, ensuring accurate documentation of member inquiries and resolutions.
- Assisting marketing with projects.
- CA support for network providers: point of contact for claim review, request for visits, financial report, and analytic report of book of business.
- Additional tasks assigned by the Manager.

**Requirements**:

- Prior experience in a call center or customer service role is advantageous.
- High school diploma or equivalent - College degree preferred.
- Punctuality and consistent availability for assigned shifts.
- Excellent verbal and written communication skills, empathy, and patience are essential for providing top-notch service to our members and providers.
- Familiarity with CRM systems and basic computer skills.
- Familiarity with vision insurance terminology, benefits, and coverage.
- Accuracy in verifying coverage, processing payments, and maintaining records.
- Ability to handle a variety of inquiries and adapt to changing situations.
- Team Player. Collaborate effectively with colleagues, and other departments.

Pay: From $18.00 per hour

Expected hours: 40 per week

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Schedule:

- 8 hour shift
- Monday to Friday

**Experience**:

- Call center: 1 year (preferred)

Work Location: In person

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