Customer Service Representative

6 days ago


Rancho Cordova, California, United States Magellan Health Full time
Job Summary

Magellan Health is seeking a highly skilled Customer Care Associate to join our team. As a key member of our customer service team, you will be responsible for providing exceptional service to our members and providers, ensuring that their needs are met and exceeded.

Key Responsibilities
  • Answer incoming calls related to eligibility, benefits, claims, and authorization of services from members or providers.
  • Administer intake documentation into the appropriate systems.
  • Provide outstanding service to internal and external customers, striving to resolve member and provider needs on the first call.
  • Meet or exceed operations production and quality standards.
  • Actively listen and probe callers to determine the purpose of the calls.
  • Research and articulate information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries.
  • Resolve customer administrative concerns as the first line of contact.
  • Assist in the mentoring and training of new staff.
  • Assume full responsibility for self-development and career progression.
Requirements
  • Must be flexible in scheduling and comfortable with change.
  • Responsible for meeting call handling requirements and daily telephone standards.
  • Must agree to observing service for the purpose of training and quality control.
  • Must be a proficient typist with strong written and verbal communication skills.
  • Must be able to maneuver through various computer platforms.
  • Must be able to talk and type simultaneously.
About Magellan Health

Magellan Health, Inc. is a leading healthcare company that provides innovative solutions to improve healthcare outcomes and reduce costs. We are committed to delivering exceptional service to our members and providers, and we are seeking a talented individual to join our team.



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