Sr. Customer Service Representative
3 weeks ago
Maximus is currently hiring a Sr. Customer Service R epresentative This position provides telephonic assistance to the Complaints Unit at the State Department of Health (DOH). This position will require reviewing allegations of managed care organization (MCO) non-compliance with regulatory, statutory, and Department of Health program requirements. This position investigates complaints from plan members, advocates, and providers involving the administration and payment of the Medicaid managed care benefit and obtains the information necessary for a thorough investigation. This position is also assigned select processing duties, and additional administrative work. The CSR works in the State Department of Health office.
This is an ONSITE position located in Albany, NY.
What you will receive:
Work/Life Balance Support - Flexibility tailored to your needs
Competitive Compensation - Bonuses based on performance included
C omprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
Diversity, Equity, and Inclusion Initiatives - Join a workplace committed to fostering diversity and inclusion.
Tuition Reimbursement - Invest in your ongoing education and development.
Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
Professional Development Opportunities: Participate in training programs, workshops, and conferences.
Essential Duties and Responsibilities:
- Interface with clients and refer complaints or inquiries to appropriate departments, agencies, advocates, or client representatives.
- Stay updated on managed care relevant to supported client programs.
- Adhere to processing guidelines, protocols, and contract requirements for complaint processing and handling PHI/PII.
- Assist consumers in health plan enrollment, disenrollment, and transfers when necessary.
- Fulfill assigned duties directed by the Complaint Unit Supervisor or Project Management.
- Meet performance standards outlined in the annual criteria and bonus template for the position.
- Address complex customer service inquiries and problems over the telephone, noting consistent issues for resolution.
- Potentially respond to email inquiries.
- Prioritize customer service as the primary function, handling non-routine calls requiring deviation from standard procedures.
- Manage situations needing adapted responses or extensive research based on customer needs.
- Utilize computerized systems for tracking, information gathering, and troubleshooting.
- Handle escalated or unresolved calls from less experienced representatives.
- Tackle moderately difficult assignments, exercising judgment in issue resolution and recommending solutions.
Minimum Requirements
- High school diploma or GED required and 1+ years of relevant professional experience required, or equivalent combination of education and experience.
-Call Center experience
-Medical billing experience
-NY State of Health (NYSOH) experience
-Microsoft Office Applications (Word, Excel, PowerPoint)
#NYMC #NYMCCSR #LI-Onsite
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We're proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Minimum Salary
$
19.00
Maximum Salary
$
19.00
-
Customer Service Representative
2 months ago
Albany, United States Elwood Staffing Full timeA local Warehouse is looking for a friendly, compassionate and outgoing Customer Service Representative! What's in it for you? Elwood Staffing associates are eligible for a comprehensive and competitive benefits package plus an exclusive savings prog Customer Service Representative, Customer Service, Representative, Retail, Staffing, Service
-
Customer Service Representative
6 months ago
Albany, United States DeNooyer Chevrolet Full timeCustomer Service Representative: In this position you will be the face representing our company culture. It is imperative that you are a friendly and positive person by nature. The Customer Service Representative position requires high-level customer service, communication, and organization. Must be able to interact with customers (over phone and...
-
Customer Service Representative
5 months ago
Albany, United States Million Air Full timeDo you enjoy working in a fast-paced environment where no two days are the same? Want to work in the aviation services industry with private jets? Is the customer #1 in you? Interested in a complete benefits package including medical, dental, vision, and paid time off, along with competitive pay? Then you will love being a valued part of our award-winning...
-
Customer Service Representative
2 months ago
Albany, United States Circle K Full timeCircle K - 33125 Highway 34Se [Retail Associate / Team Member] As a Customer Service Representative at Circle K, you'll: Provide prompt, courteous customer service and resolve customer issues on shift; Ring up all sales on cash register properly; Perform multi-function operation of fuel console, lottery machine, etc.; Inspect store facilities and equipment...
-
Customer Service Representative
3 weeks ago
Albany, New York, United States Ten Solutions Full timeWe are seeking a skilled Customer Service Representative to join our team.Responsibilities include:Responding to customer inquiries via phone and emailProviding product information and resolving issuesEscalating complex problems to senior staffAs a key member of our team, you will be responsible for delivering exceptional customer service and support.
-
Customer Service Representative
1 month ago
Albany, Louisiana, United States On The Run Convenience Full timeKey Responsibilities:As a Retail Customer Service Representative at On The Run Convenience, you will be responsible for providing exceptional customer service, operating the cash register, and maintaining a clean and organized store environment. You will also be working closely with the food program and assisting with various tasks to ensure a high level of...
-
Customer Service Representative
3 weeks ago
Albany, United States U-Haul Full timeCompensation Range: $14.20 to $15.62 Hourly Location: 125 Broadway, Menands, New York 12204 United States of America Are you a people person? Do you love helping others? U-Haul is in search of friendly, motivated people for the position of Customer Service Representative. As a Customer Service Representative, you will work as part of a supportive team to be...
-
Customer Service Representative
3 weeks ago
New Albany, United States Onyx Packaging Corp Full timeCompany Description: Onyx Packaging Corporation offers full-service custom design and manufacturing of secondary packaging across a variety of industries nationwide. As a dynamic and fast-growing business, we are looking for motivated, responsible and energetic individuals to join our team and help contribute to the growth and success of our organization. We...
-
Customer Service Representative
3 weeks ago
New Albany, United States Onyx Packaging Corp Full timeCompany Description: Onyx Packaging Corporation offers full-service custom design and manufacturing of secondary packaging across a variety of industries nationwide. As a dynamic and fast-growing business, we are looking for motivated, responsible and energetic individuals to join our team and help contribute to the growth and success of our organization....
-
Customer Service Representative
3 weeks ago
New Albany, United States Onyx Packaging Corporation Full timeCompany Description:Onyx Packaging Corporation offers full-service custom design and manufacturing of secondary packaging across a variety of industries nationwide. As a dynamic and fast-growing business, we are looking for motivated, responsible and energetic individuals to join our team and help contribute to the growth and success of our organization....
-
Customer Service Representative
4 weeks ago
New Albany, United States Onyx Packaging Corporation Full timeCompany Description:Onyx Packaging Corporation offers full-service custom design and manufacturing of secondary packaging across a variety of industries nationwide. As a dynamic and fast-growing business, we are looking for motivated, responsible and energetic individuals to join our team and help contribute to the growth and success of our organization....
-
Customer Service Representative
1 month ago
Albany, New York, United States Domino's Pizza Full timeDomino's Pizza: A World-Class Team Member OpportunityWe are seeking a talented Customer Service Representative to join our dynamic team at Domino's Pizza. As a key member of our crew, you will be responsible for delivering exceptional customer experiences and ensuring the highest level of service in our stores.Key Responsibilities:Operate all...
-
Dispatch/ Customer Service Representative
2 months ago
Albany, United States CRH Full timeCRH - Callanan Industries Inc [Customer Service Representative] As a Customer Service Rep at CRH, you'll: Assist customer with product questions, ordering, order tracking, complaints and problems; Enter orders into system for billing and delivery; Prepare quotes and coordinate mailings of literature and samples; Coordinate delivery schedules with dispatch;...
-
Customer Service Representative
1 month ago
Albany, New York, United States Broadview FCU Full timeRole Summary: We are seeking a highly skilled Member Service Representative to join our team at Broadview FCU. As a key member of our customer service team, you will be responsible for delivering exceptional service to our members, resolving their issues, and providing assistance with their financial needs.Key Responsibilities:Handle member inquiries of...
-
Customer Service Representative-Radiant
5 months ago
Albany, United States Latham Pool Products Full timeDescription Position at Latham Pool Products, Inc Primary Role: The Latham Customer Service Representative is responsible for handling complex customer orders and queries independently. In addition, this position will identify and assign customers inquiries based on standard operating procedures. The position will have email and telephone contact with...
-
Customer Service Representative Lead
1 month ago
Albany, Oregon, United States People's Bank of Commerce Full timeJob SummaryWe are seeking a highly skilled Customer Service Representative to join our team at People's Bank of Commerce. As a key member of our branch, you will be responsible for providing exceptional customer service and support to our clients, promoting all bank products and services, and contributing to the efficient and effective operations of the...
-
Customer Service Representative
1 month ago
New Albany, Indiana, United States State Farm Insurance Full timeJob Summary: We are seeking a highly skilled Customer Service Representative to join our team at State Farm Insurance. As a key member of our customer service team, you will be responsible for providing exceptional service to our customers, addressing their inquiries, and resolving their issues in a timely and professional manner.Key Responsibilities:Assist...
-
Customer Service Representative
3 weeks ago
Albany, United States Assurant Full time*This is an onsite position in Albany, Oregon.* Now hiring for December 16, 2024. Shifts will be within our office operating hours of Monday through Friday from 6am to 6pm PST. Now offering $500 in additional bonuses! Paid out in 2 installments: $250 paid out at the completion of 90 days $250 paid out upon 6 month work anniversary Must be Assurant...
-
Customer Service Representative
2 weeks ago
Albany, United States TAG MedStaffing Full timeAbout the Role: Join us and make a difference in the lives of people with disabilities, chronic illnesses, and long-term health conditions. As a Consumer Support Representative, youll be empowering individuals to direct their own care and live independently. Were looking for compassionate and results-driven candidates ready to thrive in a fast-paced,...
-
Customer Service Representative
2 weeks ago
Albany, United States TAG MedStaffing Full timeAbout the Role:Join us and make a difference in the lives of people with disabilities, chronic illnesses, and long-term health conditions. As a Consumer Support Representative, you’ll be empowering individuals to direct their own care and live independently. We’re looking for compassionate and results-driven candidates ready to thrive in a fast-paced,...
