Senior Customer Service Representative
2 weeks ago
Senior Customer Service Representative
Job Summary:
Handles inbound/outbound calls from participants and/or prescribers to start and process order requests. Researches and investigates orders using PeopleSafe and LINKS. Researches issues sent by Customer Care, Account Managers, internal customers, and Quality Assurance relative to the customer service experience. Notifies requestors of decisions, changes, or other relevant information pertaining to requests/inquiries. Responsible for researching and resolving payment issues. Calls to offer direct sales of medications to participants and posts payments to the proper accounts. Performs required transactions to complete mail order prescriptions. Follows through on standard operating procedures, problem-solving, and troubleshooting within guidelines. Ability to work under strict turn-around-times.
Responsibilities:
• Answer incoming calls from members, providers, and plan sponsors to verify insurance coverage
• Reverify Medicare Part D coverage as required
• Research and verify correct member information
• Provide resolution to questions and concerns regarding coverage and plans
Qualifications:
1+ year of customer service experience involving interacting with others
1+ years of MS Office experience
1+ year of experience in a call center environment
1+ year of healthcare or insurance industry experience
High School diploma or GED
Essential Functions:
All duties and responsibilities are essential job functions and are subject to possible modification to reasonably accommodate individuals with disabilities. Other functions and accountabilities may be assigned from time to time. Regular attendance is an essential function of this position. To perform this job successfully, the employee will possess the skills, aptitudes, and abilities to perform each duty proficiently.
About NTT DATA:
NTT DATA, Inc. partners with clients to navigate and simplify the modern complexities of business and technology, delivering the insights, solutions, and outcomes that matter most. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud, and automation across a comprehensive portfolio of consulting, applications, infrastructure, and business process services. NTT DATA, Inc. is part of the NTT DATA family of companies, together comprising a top 10 global business and IT services provider with 100,000+ professionals in more than 50 countries, and is part of NTT Group, a partner to 85 percent of the Fortune 100.
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