Lead Customer Solution Center Provider Service Representative
3 weeks ago
Job Summary
The Lead Customer Solution Center Provider Service Representative is responsible for triaging, prioritizing, assigning and helping support PSRs in the high-performance of their position. The Lead is a "Working Lead" that is responsible for their own assigned inquiries and escalated cases, as appropriate. All Leads may provide support, coaching and feedback (excluding performance evaluations, as this is the responsibility of a Supervisor). Leads also play an important role in ensuring that the Provider Service Unit (PSU) completes its main goal of a great customer service experience.
Duties
Leadership and prioritization of day to day activities of Provider Service Representatives, including but not limited to: Assists in providing direction and instruction on case assignments; Handles all questions/issues raised by staff; Recommends process improvement processes; Prepares and analyzing call center statistical reports; Monitors/Adjusts of skill-sets for consistency; Ensures quantity/quality is met for overtime; Handles escalated calls; Acts as back-up to calls as needed; Assists Supervisor to ensure that Representatives provide accurate, timely and quality service to our members/providers. Ensure that all departmental policies, procedures and standards are being met, as well as the organization's mission; Assists Supervisor to ensure that performance opportunities are identified in advance and process changes are made to redirect performance to acceptable levels; Assists Supervisor to ensure that we provide accurate, timely and professionally written, statistical and verbal reports to management for historical, current status and forecasting purposes; Assists Supervisor in reviewing the Representatives overall quality accuracy; Ensures that front line service personnel are capturing information and providing feedback to Supervisors that will enable L.A. Care to improve its product and internal process; Represents the Department when requested at meetings; Assists Supervisor with meetings and provides necessary feedback when requested.
Assists with ongoing training and staff development to ensure appropriate service standards are developed and maintained. Works with training staff to ensure that training practices support staffing and performance standards, takes responsibility for identifying on-going training needs and integrating training and performance expectations as well as work closely with Supervisors to create and/or modify Desk top procedures.
Ensures department remains in compliant with Health Insurance Portability and Accountability Act (HIPAA) regulations relating to protected health information. (PHI).
Maintains attendance expectations.
Performs other duties as assigned.
Duties Continued
Education Required
Associate's DegreeIn lieu of degree, equivalent education and/or experience may be considered.
Education Preferred
Bachelor's Degree
Experience
Required:
At least 0-2 years of customer service with 1 years experience in a health plan/health insurance customer service call center environment with 1 year of lead experience.
Experience in working with the disadvantage population, Covered California, and Cal MediConnect.
Skills
Required:
Must have knowledge in direct line of business.
Must know Medical Terminology.
Must have excellent communication skills, strong analytical, coaching/mentoring skills, team building and the ability to work effectively with diverse team members.
Must also have the ability to troubleshoot problem areas and recommend effective alternative solutions to handle irate callers, and provide optimal customer service for internal and external customers.
Must be flexible with time and be able to work overtime including weekends.
Must be able to multitask and to streamline day to day operations, policies and procedures.
Must have advance PC skills including Excel and Access.
Licenses/Certifications Required
Licenses/Certifications Preferred
Required Training
Physical Requirements
Light
Additional Information
Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)-
Lead Customer Solution Center Provider Service
3 weeks ago
Los Angeles, United States L.A. Care Health Plan Full timeLead Customer Solution Center Provider Service Representative **Job Category**:Customer Service**Department**:Customer Solution Call Center**Location**:Los Angeles, CA, US, 90017**Position Type**:Full Time**Requisition ID**:11323**Salary Range**: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.)- Established in 1997, L.A. Care Health Plan is an...
-
Los Angeles, United States L.A. Care Health Plan Full timeLead Customer Solution Center Service Representative **Job Category**:Customer Service**Department**:Customer Solution Call Center**Location**:Los Angeles, CA, US, 90017**Position Type**:Full Time**Requisition ID**:11090**Salary Range**: $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.)- Established in 1997, L.A. Care Health Plan is an independent...
-
Lead Customer Solution Center Service Representative
35 minutes ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in...
-
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $55, Min.) - $69, Mid.) - $82, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...
-
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $55, Min.) - $69, Mid.) - $82, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...
-
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $55, Min.) - $69, Mid.) - $82, Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure...
-
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...
-
Lead Customer Solution Center Service Representative
21 minutes ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...
-
Los Angeles, United States L.A. Care Health Plan Full timeCustomer Solution Center Service Representative III **Job Category**:Customer Service**Department**:Customer Solution Call Center**Location**:Los Angeles, CA, US, 90017**Position Type**:Full Time**Requisition ID**:11270**Salary Range**: $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.)- Established in 1997, L.A. Care Health Plan is an independent...
-
Call Center Customer Service Representative
3 weeks ago
Los Angeles, United States Carnago & Carnago LLC Full timeJob Overview: We are seeking a highly motivated and customer-oriented individual to join our team as a Call Center Representative. As a Call Center Representative, you will be responsible for handling inbound and outbound calls, providing excellent customer service, and promoting our products and services. **Duties**: - Answer incoming calls and respond to...
-
Supervisor, Customer Solution Call Center
4 weeks ago
Los Angeles, United States L.A. Care Health Plan Full timeSupervisor, Customer Solution Call Center **Job Category**:Customer Service**Department**:Customer Solution Call Center**Location**:Los Angeles, CA, US, 90017**Position Type**:Full Time**Requisition ID**:11325**Salary Range**: $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.)- Established in 1997, L.A. Care Health Plan is an independent public...
-
Customer Solution Center Enrollment Services
1 week ago
Los Angeles, United States L.A. Care Health Plan Full timeCustomer Solution Center Enrollment Services Representative II **Job Category**:Customer Service**Department**:Enrollment Services**Location**:Los Angeles, CA, US, 90017**Position Type**:Full Time**Requisition ID**:11191**Salary Range**: $50,216.00 (Min.) - $62,770.00 (Mid.) - $75,324.00 (Max.)- Established in 1997, L.A. Care Health Plan is an independent...
-
Supervisor, Customer Solution Call Center
4 weeks ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in...
-
Supervisor, Customer Solution Call Center
4 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $67, Min.) - $87, Mid.) - $107, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...
-
Supervisor, Customer Solution Call Center
2 months ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $67, Min.) - $87, Mid.) - $107, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...
-
Supervisor, Customer Solution Call Center
4 weeks ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...
-
Supervisor, Customer Solution Call Center
4 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $67, Min.) - $87, Mid.) - $107, Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...
-
Call center customer service representative
4 weeks ago
Los Angeles, United States The Gents Place Full timeJob DescriptionJob DescriptionOverviewAs a Call Center Customer Service Representative, you will play a crucial role in ensuring customer satisfaction by providing exceptional service and resolving inquiries or concerns. Your ability to communicate effectively and empathize with customers will be essential in maintaining positive relationships and promoting...
-
Call center customer service representative
2 weeks ago
Los Angeles, California, United States The Gents Place Full timeJob DescriptionJob DescriptionOverviewAs a Call Center Customer Service Representative, you will play a crucial role in ensuring customer satisfaction by providing exceptional service and resolving inquiries or concerns. Your ability to communicate effectively and empathize with customers will be essential in maintaining positive relationships and promoting...
-
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $50, Min.) - $62, Mid.) - $75, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...
