Customer Service Representative

2 weeks ago

New York, United States General Vision Services Full time

Who We Are::

Since its inception more than 60 years ago, General Vision Services (TM) has been proudly serving more than 3 million members of unions, HMOs and corporations. GVS continues to be a leading Eyecare Benefits Administrator and Preferred Provider Organization (PPO) provider of eyecare plans nationally.

Who You Are::

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.

What You'll Do::
  • 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.
What You Bring::
  • Ability to work in our Manhattan office. Additionally, candidates should have the flexibility to work on Saturdays and be available for shifts from 9:00 AM to 5:00 PM, 10:00 AM to 6:00 PM and 11:00 AM to 7:00 PM.
  • 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.
What We Offer::
    • Health Insurance
    • Dental Plans
    • Vision Plans
    • PTO
    • Paid holidays
    • MORE

Effective 09/17/2023 NYC passed a Pay Transparency Law which requires NYC based hiring to include a compensation range on each job posting. This compensation range is presented in good faith for candidates that are hired in these roles will be presented a salary within the range stated on the job posting:

Salary: $18 per hour.

#IND1

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