CCSB - Customer Service Representative

1 month ago

Irvine, United States Western Growers Full time

**Description**

Join our team of dedicated professionals who are committed to ensuring our clients can provide affordable health benefit solutions for their employees.

Pinnacle Claims Management is a 3rd party administrator that provides health benefits administration and related services to companies that self-fund their insurance. We are also a contracted partner with CCSB.

Pinnacle is independently owned and has been serving clients for 20+ years. We are also part of the Western Growers Family of Companies.

****

**Job Description Summary**

Position reports directly to the Supervisor, Covered California for Small Business Call Center (CCSB). This position provides consultative telephonic and web-based assistance to Agents, Certified Enrollment Counselors, Qualified Health Plans (QHP), federal and state agencies and other stakeholders in Health Benefit Exchange administration. The incumbent will provide customer service support to clients by instructing them on correct eligibility management procedures and troubleshoot application issues and concerns.

**Qualifications**

* High School diploma or GED and one (1) to three (3) years of experience in customer service within a call center environment, preferably within a technical support role.

* Experience in the healthcare industry especially with a health benefits company or a federal, state benefit program a plus.

* Knowledge of Health Benefits Exchange (HBEX), eligibility requirements and the application and enrollment processes preferred.

* Strong written and verbal communication skills. including a very clear and concise speaking voice, and active listening.

* Demonstrated skills in time management and team building.

* Strong ability to research and resolve technical issues and/or client problems as they arise with minimal direction.

* Knowledge of government regulations, federal, state, and local health benefit programs preferred.

* Ability to retain and apply knowledge of the various operations of the organization, products, and services, in order to provide excellent customer service support

* Ability to learn new software and navigate multiple systems at once. Must have strong knowledge of Customer Relationship Management (CRM) software.

* Ability to adapt to a constantly changing environment.

* Basic computer experience and keyboarding skills.

* Bilingual in Spanish, Chinese, Korean, and Vietnamese is a plus.

**Duties And Responsibilities**

Customer Advocate

* Foster and build working relationships with Agents, Certified Enrollment Counselors, federal and state agency contacts.

* Must become the subject matter expert for Covered California, State Provided Programs and HealthCare.Gov.

* Serve as a representative of the Agent by displaying professionalism, knowledge, and discretion in all interactions with other members of the Agents community and their customers.

* Adhere to the call center Quality Guidelines to ensure the best phone support to our callers.

Call Center Support

* Be a key contributor to meeting our contractual obligations to Covered California.

* Meet and maintain all of the department service metrics and performance objectives.

* Thoroughly document information, activities and changes in the database and inquiry outcomes for accurate tracking and analysis.

* Provide telephonic and web-based outreach to provide informational support to assist with all aspects of the application process within the Covered California systems from sign up to termination.

* Identify, initiate, and implement at least one process improvement and/or innovation annually.

Other

* Utilize all capabilities to satisfy one mission to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating a positive impact, and being diligent in delivering results.

* All other duties as assigned.

**Physical Demands/Work Environment**

The physical demands and work environment described here represent those that an employee must meet to perform this jobs essential functions successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate.

  • Customer Service Representative

    4 weeks ago

    Irvine, United States Ultimate Staffing Full time

    Great Opportunity! Hiring Now for a Customer Service Representatives in Irvine, CA for an Automotive Electronics Company! 8 am - 5 pm$22.00 per hour Temp to hire! Great company culture! Responsibilities:First point of contact via phone and email to p Customer Service Representative, Customer Service, Customer Experience, Representative, Retail, Staffing

  • Customer Service Representative

    3 weeks ago

    Irvine, United States Amerihome Full time

    ** Position Description****Customer Service Representative** Location **Irvine, CA** Job Code **1689** # of openings **1** Position Title: Customer Service Representative***Remote in California***What were looking for:**AmeriHome Mortgage's Consumer Direct Group** is growing and seeking top talent for our Customer Service department. The Customer Service...

  • Customer Service Representative

    1 week ago

    Irvine, California, United States Missionloans Full time

    Job Title: Customer Service Representative at Mission Loans Looking for experienced mortgage professionals Thrives in a fast-paced environment Delivers exceptional customer experience Mission Loans is in search of dedicated individuals who can maintain quality work while ensuring top-notch customer service. As a Customer Service Representative at...

  • Customer Service Representative

    2 weeks ago

    Irvine, United States JNH Lifestyles Full time

    A Customer Service Representative, or CSR, will act as a liaison, provide products/services information, answer questions, and resolve emerging problem that our customer accounts might face with accuracy and efficiency. The target is to ensure excellent service standards, respond efficiently to customer inquiries and maintain high customer...

  • Customer Service Representative

    2 weeks ago

    Irvine, United States USOC Medical Full time

    The Customer Service Representative works with clients in identifying their needs regarding proper preparation for incoming repairs, status on orders in house, Liaison between clients and Sales Representatives. **Role & Responsibilities**: - Answer all incoming calls - Sell additional services or products to clients - Builds and maintains effective...

  • Customer Service Representative

    3 weeks ago

    Irvine, United States Induce Biologics USA Inc. Full time

    As a Customer Service Representative, you will be responsible for receiving, processing and recording customer orders. The Customer Service Representative also handles customer inquiries and resolves issues. The individual will work closely with various teams to ensure prompt and effective resolution of customer issues and provide excellent support to...

  • Customer Service Representative

    1 week ago

    Irvine, United States USOC Medical Full time

    The Customer Service Representative works with clients in identifying their needs regarding proper preparation for incoming repairs, status on orders in house, Liaison between clients and Sales Representatives. **Job Accountabilities** - Answer all incoming calls - Sell additional services or products to clients - Builds and maintains effective professional...

  • Customer Service Representative

    6 days ago

    Irvine, United States MASHPOINT LLC Full time

    Job DescriptionJob DescriptionJob Title: Customer Service Representative Location: Irvine, CA, 92614 Duration: 3+ months (with possible extension)SummaryThe Customer Service Representative manages and supports key customers and territories. Duties include quoting, purchase order review, data entry and management, working with customer portals, resolving...

  • Customer Service Representative

    1 month ago

    Irvine, California, United States Circle K Full time

    Store : 3765 Alton Pkwy, Irvine, California 92606Availability - Shift/Days Flexible AvailabilityCustomer Service RepresentativeWe want you to join our team as a Customer Service Representative. If you have the desire to be challenged, work in a fast-paced, fun environment and to grow your career - look no further.As a Customer Service Representative, you...

  • Customer Service Representative

    3 weeks ago

    Irvine, California, United States Circle K Full time

    Store : 3765 Alton Pkwy, Irvine, California 92606Availability - Shift/Days Flexible AvailabilityCustomer Service RepresentativeWe want you to join our team as a Customer Service Representative. If you have the desire to be challenged, work in a fast-paced, fun environment and to grow your career - look no further.As a Customer Service Representative, you...

  • Customer Service Representative

    3 weeks ago

    Irvine, California, United States Circle K Full time

    Store : 14493 Culver Dr, Irvine, California 92604Availability - Shift/Days Part time Day Shift - Evenings - Overnight ShiftCustomer Service RepresentativeWe want you to join our team as a Customer Service Representative. If you have the desire to be challenged, work in a fast-paced, fun environment and to grow your career - look no further.As a Customer...

  • Customer Service Representative

    3 weeks ago

    Irvine, United States Induce Biologics Usa Inc. Full time

    Induce Biologics is commercializing a family of bioimplants that includes Natural Matrix Protein (NMP ) which replicates the body's native healing capabilities in order to create natural bone regeneration. The NMP proprietary process unlocks the growth factors naturally found in bone, making them bioavailable.As a Customer Service Representative, you will be...

  • Customer Service Representative

    3 weeks ago

    Irvine, United States Missionloans Full time

    Mission Loans is seeking experienced mortgage professionals who thrive in a fast-paced environment without losing focus on quality of work and delivering an exceptional customer experience. As a customer service representative, you will act as a liaison for our clients and provide product/services information. The best CSRs are genuinely excited to help...

  • Customer Service Representative

    1 week ago

    Irvine, California, United States Induce Biologics USA Inc. Full time

    As a Customer Service Representative, you will be responsible for receiving, processing and recording customer orders. The Customer Service Representative also handles customer inquiries and resolves issues. The individual will work closely with various teams to ensure prompt and effective resolution of customer issues and provide excellent support to...

  • Customer Service Representative

    1 week ago

    Irvine, California, United States Induce Biologics Usa Inc. Full time

    Customer Service Representative at Induce Biologics Induce Biologics is leading the way in commercializing a family of bioimplants, including the innovative Natural Matrix Protein (NMP), which mimics the body's natural healing abilities to promote organic bone regeneration. As a Customer Service Representative at Induce Biologics, you play a vital role in...

  • Customer Service Representative

    3 weeks ago

    Irvine, United States Waterworks Aquatics Full time

    **We’re hiring PART-TIME/FULL-TIME CUSTOMER SERVICE REPRESENTATIVES!** Are you an empathetic person who has a passion for helping others? Are you an enthusiastic ‘people-person’? Are you a confident and adaptable person who can close the deal? You’re in luck! We are looking for exceptional customer service representatives that can register new...

  • Customer Service Representative

    3 weeks ago

    Irvine, United States Waterworks Aquatics Full time

    **We’re hiring PART-TIME/FULL-TIME CUSTOMER SERVICE REPRESENTATIVES!** Are you an empathetic person who has a passion for helping others? Are you an enthusiastic ‘people-person’? Are you a confident and adaptable person who can close the deal? You’re in luck! We are looking for exceptional customer service representatives that can register new...

  • Customer Service Representative

    7 days ago

    Irvine, United States Pridestaff Full time

    Customer Service Representative(2) needed for an electronics distributor in Irvine CA.Temporary to Hire positions if performance meets expectations. Hours are Monday - Friday, 8:45 AM - 5:30 PM. This position will start off onsite Monday - Thursday with Friday at home, but after training which takes about 30-45 days, position will be hybrid with 2 days in...

  • Customer Service Representative

    1 month ago

    Irvine, United States Induce Biologics USA Inc. Full time

    Induce Biologics is commercializing a family of bioimplants that includes Natural Matrix Protein (NMP) which replicates the bodys native healing capabilities in order to create natural bone regeneration. The NMP proprietary process unlocks the growth factors naturally found in bone, making them bioavailable. As a Customer Service Representative, you will be...

  • Customer Service Representative

    3 weeks ago

    Irvine, United States Induce Biologics USA Inc. Full time

    Induce Biologics is commercializing a family of bioimplants that includes Natural Matrix Protein (NMP) which replicates the bodys native healing capabilities in order to create natural bone regeneration. The NMP proprietary process unlocks the growth factors naturally found in bone, making them bioavailable. As a Customer Service Representative, you will be...