Customer Service Lead Representative
3 weeks ago
Immediate need for a talented Customer Service Lead Representative. This is a 03+months contract opportunity with long-term potential and is located in U.S (Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:24-38842
Pay Range:$22/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Grievance Coordinator is responsible for corresponding with members, providers and regulators regarding decisions and actions.
- Works collaboratively with the Claims, Customer Service, Appeals, and Medical Management Departments.
- Communicate, collaborate and cooperates with internal and external business partners.
- Adheres to all Compliance/Program Integrity requirements and complies with HIPAA Regulations.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency.
- Supports department-based goals which contribute to the success of the organization
- Key Skills:CSR ,Appeals & Grievance , Healthcare Insurance Industry.
- Minimium requirement: 1 year of G&A and/or 1+ year or more of Customer Service at a health insurance company
- Bilingual in Spanish is preferred but not required
- Strong written and verbal communication skills, PC proficiency to include Microsoft office products.
- One year of health insurance/managed care experience performing Appeals and Grievances functions.
- Will consider managed care associates with three years of experience in customer service, call center or claims processing skills and knowledge of healthcare delivery.
- Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment.
- Demonstrated written communication skills, time management, priority setting, problem solving and organizational skills.
- Demonstrated ability to converse with and collaborate with physicians and physician personnel.
- Ability to identify and define problems, collect data/information, establish facts, and draw valid conclusions and provide resolution.
- Ability to track and manage case load effectively in Grievance tracking system.
- Must be able to work independently and under pressure related to tight time-frames.
- One year of health insurance/managed care experience knowledge of healthcare terminology preferable.
- Intermediate PC Skills.
- Previous experience working in a remote setting is preferred.
- A high school diploma and two years in a Medicare, Medicaid managed care environment investigating and resolving Grievances
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
#prof
-
Customer Service Representative
5 days ago
Brentwood, Tennessee, United States Chris Woodlee - State Farm Agent Full timeJob OverviewAs a valued member of the Chris Woodlee - State Farm Agent team, we are seeking a highly motivated and customer-focused individual to join our team as an Insurance Account Representative. This is an exciting opportunity to work with a dynamic and growing insurance agency, providing exceptional service to our customers and helping them achieve...
-
Customer Service Representative
3 months ago
Brentwood, United States Randstad North America, Inc. Full timeReady to put your highly in-demand customer service skill set into practice in a fast-paced environment? If you're an experienced professional who has demonstrated people skills, loves troubleshooting and lives to delight customers, we have amazing c Customer Service Representative, Customer Service, Representative, Retail, Staffing
-
Customer Service Representative
4 days ago
Brentwood, Tennessee, United States Chris Obear - State Farm Agent Full timeAbout the RoleWe are seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative at Chris Obear - State Farm Agent. As a key member of our team, you will play a vital role in providing exceptional customer experiences and promoting our premier insurance and financial service...
-
Customer Service Representative
5 days ago
Brentwood, Tennessee, United States Randstad Full timeJob SummaryWe are seeking an experienced Customer Service Representative to join our team at Randstad. As a Customer Service Representative, you will be responsible for managing incoming calls to assist customers, handling phone duties in a timely and professional manner, and providing top-notch customer service.Key ResponsibilitiesManage incoming calls to...
-
Customer Service Representative
1 day ago
Brentwood, Tennessee, United States Randstad Full timeJob SummaryWe are seeking a skilled Customer Service Representative to join our team at Randstad. As a Customer Service Representative, you will be responsible for providing exceptional service to our clients and customers, handling incoming calls, and resolving issues in a timely and professional manner.Key ResponsibilitiesManage Incoming Calls: Respond to...
-
Customer Service Representative
3 weeks ago
Brentwood, United States Shawbrook Bank Full timeSaving Brentwood, England, GB Posted on August 5, 2024 The Opportunity Shawbrook provides finance to a wide range of customer segments that value the premium experience, flexibility and certainly we deliver. We are a purpose-led organisation, with a focus on delivering long-term sustainable value for all our stakeholders. We have a diversified offering,...
-
Customer Service Representative
7 days ago
Brentwood, Tennessee, United States Randstad Full timeCustomer Service RepresentativeWe are seeking a highly skilled and experienced Customer Service Representative to join our team at Randstad. As a key member of our customer-facing team, you will be responsible for providing exceptional service to our clients and ensuring their needs are met in a timely and professional manner.About the RoleProvide...
-
Customer Service Representative
2 weeks ago
Brentwood, United States U-Haul Full timeLocation: 32 Middle Rd, Brentwood, New Hampshire 03833 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 the face of U-Haul company’s...
-
Customer Service Representative
5 days ago
Brentwood, Tennessee, United States Veolia WTS Full timeJob SummaryWe are seeking a highly organized and energetic Field Service Representative to join our team at Veolia WTS. As a Field Service Representative, you will be responsible for creating an exceptional customer experience through inbound calls from customers, policyholders, insurance agents, and/or auto glass shops.Key ResponsibilitiesAnswer incoming...
-
Customer Service Representative
3 weeks ago
Brentwood, United States Vaco Full timeOur client in the Nashville, TN area is hiring for a Customer Service Representative to join their growing team! This is a Temp to Hire opportunity with a fully in office schedule. Responsibilities: Engage with customers through various channels to address inquiries, provide information, and resolve issues. Identify and resolve customer problems or...
-
Customer Service Representative
2 weeks ago
Brentwood, United States PeopleReady Full timeJob Description Customer Service Representative PeopleReady of Franklin, TN is now hiring Customer Service Representatives! Apply today and you could start as soon as tomorrow. As a PeopleReady associate you'll benefit from: The freedom to work where you want, when you want and as often as you want. Next-day pay* for many of our open positions. The ability...
-
Sports-Minded Customer Service Representative
2 months ago
Brentwood, United States Engage8 Solutions Full timeJob DescriptionJob DescriptionOur Sports-Minded Customer Service Representatives are communication experts who provide fast, friendly service to customers to ask questions, assess their needs, and provide immediate assistance. Upon joining our goal-driven, energetic team, the Customer Service Representative will receive two weeks of intensive hands-on...
-
Customer Service Representative
3 weeks ago
Brentwood, United States Vaco Full timeOur client in the Nashville, TN area is hiring for a Customer Service Representative to join their growing team! This is a Temp to Hire opportunity with a fully in office schedule. Responsibilities: Engage with customers through various channels to address inquiries, provide information, and resolve issues. Identify and resolve customer problems or...
-
Customer Service Representative
2 weeks ago
Brentwood, United States Vaco Full timeOur client in the Nashville, TN area is hiring for a Customer Service Representative to join their growing team! This is a Temp to Hire opportunity with a fully in office schedule. Responsibilities:Engage with customers through various channels to address inquiries, provide information, and resolve issues.Identify and resolve customer problems or...
-
Customer Service Representative
3 days ago
Brentwood, Tennessee, United States Brightree Full timeAbout BrightreeBrightree is a technology company that specializes in developing innovative solutions for the post-acute care industry. We help streamline processes, improve efficiency, and increase profitability for our customers.Our MissionWe are dedicated to creating a culture driven by excellence, where our employees can thrive and grow. We focus on...
-
Customer Service Representative
4 days ago
Brentwood, Tennessee, United States Compass Group, North America Full timeJob SummaryWe are seeking a highly skilled and customer-focused Customer Service Representative to join our team at Compass Group, North America. As a Food Service Cashier, you will be responsible for providing exceptional customer service and ensuring a seamless dining experience for our clients.Key Responsibilities:Process Transactions: Accurately process...
-
Customer Service Representative
11 hours ago
Brentwood, Tennessee, United States Randstad Full timeJob SummaryWe are seeking a highly skilled and experienced Customer Service Representative to join our team at Randstad. As a Call Center Agent, you will be responsible for managing incoming calls to assist customers, handling phone duties in a timely and professional manner, and achieving member engagement standards set for the department.Key...
-
Customer Service Representative
15 hours ago
Brentwood, Tennessee, United States Floor & Decor Holdings, Inc. Full timeJob SummaryWe are seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative. As a key member of our sales floor team, you will be responsible for providing exceptional customer service, processing transactions, and maintaining a clean and organized store environment.Key ResponsibilitiesCustomer Service:...
-
Customer service representative
2 months ago
Brentwood, United States Randstad Full timeWe are looking for a highly motivated and customer-oriented individual to join our team as a Customer Service Representative. The ideal candidate will be responsible for providing exceptional customer service, handling customer inquiries, resolving issues, and ensuring a positive customer experience. salary: $16.5 - $17 per hour shift: First work hours: 8...
-
Customer Service Representative
3 days ago
Brentwood, Tennessee, United States Floor & Decor Holdings, Inc. Full timeJob SummaryWe are seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative. As a key member of our sales floor team, you will be responsible for providing exceptional customer service, processing transactions, and maintaining a clean and organized store environment.Key ResponsibilitiesCustomer Service:...
