Customer Service Representative

4 weeks ago

New Braunfels, United States Boon-Chapman Full time
Position Overview: We are seeking a detail-oriented Benefit Services Representative to join our team. In this role, you will handle inbound calls for verifying benefits and addressing inquiries from providers, members, and clients. You will maintain a strong understanding of health claims, coding, processing guidelines, plan designs, PPO networks, and all services provided by the Boon Chapman Team. Your ability to communicate accurate, courteous, and clear information will be essential in delivering exceptional customer service. Strong organizational and communication skills are crucial for success in this key position.

Key Responsibilities:
  • Handle a high volume of inbound calls with a focus on rapid response according to agreed metrics.
  • Maintain excellent communication with customers, providers, and other departments to ensure effective service.
  • Display professionalism, efficiency, and courtesy in interactions with co-workers, supervisors, and clients.
    Advise the department or unit of potential issues by analyzing trends in call types.
  • Log call information accurately as required.
  • Utilize Microsoft Excel and Word effectively for various tasks.
  • Complete forms for follow-up actions with other departments.
  • Research and resolve customer inquiries by providing accurate and timely responses.
  • Identify and report potential issues based on call trends and data analysis.
  • Maintain effective relationships with co-workers and supervisors.
  • Attend mandatory workshops and team meetings to stay informed and engaged.
  • Pursue personal development opportunities to enhance skills and knowledge relevant to the role.
  • Complete projects and tasks assigned by the manager in a timely and efficient manner.
  • Perform other duties as assigned to support departmental goals and operations.
Qualifications:
  • At least 1 year of experience in a call center environment.
  • Essential attention to detail for accurate data entry, documentation, and compliance with regulatory standards.
  • Strong organizational skills to manage multiple tasks, prioritize effectively, and meet deadlines consistently.
  • Adaptability to learn new systems, processes, and industry regulations quickly and effectively.
  • Demonstrated ability to collaborate with colleagues, share knowledge, and contribute positively to team dynamics.
  • Proven problem-solving skills to identify issues, analyze data, and propose practical solutions to ensure operational efficiency.
  • Commitment to delivering outstanding customer service, understanding client needs, and ensuring satisfaction.
  • Strong verbal and written communication abilities to convey complex information clearly and effectively.
Nice to haves:
  • Previous experience in the insurance or healthcare industry, particularly in enrollment processes, is advantageous.
  • Familiarity with specific software or platforms used in enrollment management, such as carrier portals and CRM systems.
  • Ability to interpret data, identify trends, and make data-driven recommendations for process improvements.
Physical Requirements:
  • Prolonged periods sitting at a desk and working on a computer.
  • Must be able to lift up to 15 pounds at times.


Soluta, Boon-Chapman, Prime Dx is an equal opportunity employer committed to diversity and inclusion. We encourage qualified individuals from all backgrounds to apply.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employee's ability to perform the position described. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. This document does not represent a contract of employment, and the company reserves the right to change this job description and/or assign tasks for the employee to perform, as the company may deem appropriate.

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