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Customer Service Representative
2 months ago
Job Summary:
The Customer Service Representative is responsible for handling inbound customer calls from both providers and members. They are to ensure that the highest level of service is provided no matter what the question or concern.
Key Responsibilities:
- Provide direct client support by answering questions from providers and members about benefits and eligibility, while ensuring communication remains courteous and respectful at all times.
- Maintain a high accuracy level by providing complete and accurate information at all times.
- Document notes of each call to ensure all information is saved correctly.
- Abide by all Customer Service Goals as set by the Manager of the department.
- Ensure adherence of Customer Service metrics:
- Average monthly After Call Work (ACW) time
- Average monthly hold time
- Average monthly staff time
- Average monthly talk time
- Average monthly quality (90%)
- Handle call backs and escalations:
- Escalate calls to the necessary department when appropriate.
- Make callbacks to customers as needed.
Requirements:
- 0-1 years related work experience in the health insurance industry.
- Excellent verbal and written communication skills are required.
- Qualified candidates should have a professional phone voice.
- Must possess good, basic computer and typing skills.
- Able to demonstrate proficiency in Microsoft Office (specifically Word, Excel and Outlook).
Physical Demands:
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.