Customer Service Customer Service Representative 105 1056
Tulsa, OK 74119, United States
Job Description
b'
JOB SUMMARY: Responsible for being the first point of contact for all membership related questions, requests and concerns and for providing outstanding service to our customers. You will answer queries regarding customer benefits, eligibility, PCPs, claims and other questions. You will handle complaints, troubleshoot problems and provide resolutions in a professional and polite manner to ensure first contact resolution and customer satisfaction. The ideal Customer Service Representative will be customer focused, detail oriented and results driven.
The most successful Customer Service Representatives demonstrate the following characteristics: polite, accurate, knowledgeable, able to work well within a team, learning agility, flexible and easily adapts to change. KEY RESPONSIBILITIES: \xe2\x80\xa2 Process a high volume of incoming inquiries regarding multiple products from members, providers, billing companies, individuals with legal representation, employer groups, and other insurance companies. \xe2\x80\xa2 Strive to achieve first call resolution by communicating accurate information efficiently and timely thereby creating a positive experience for the member. \xe2\x80\xa2 Verifies eligibility, benefits, deductible amounts, claim status, copays, coinsurance and all other information related to a customer and their benefits or a provider and their contract.
The most successful Customer Service Representatives demonstrate the following characteristics: polite, accurate, knowledgeable, able to work well within a team, learning agility, flexible and easily adapts to change. KEY RESPONSIBILITIES: \xe2\x80\xa2 Process a high volume of incoming inquiries regarding multiple products from members, providers, billing companies, individuals with legal representation, employer groups, and other insurance companies. \xe2\x80\xa2 Strive to achieve first call resolution by communicating accurate information efficiently and timely thereby creating a positive experience for the member. \xe2\x80\xa2 Verifies eligibility, benefits, deductible amounts, claim status, copays, coinsurance and all other information related to a customer and their benefits or a provider and their contract.
- Use effective listening skills to understand the needs and complaints of the customer to offer them the best possible solution and ensuring the member feels supported and valued. \xe2\x80\xa2 Resolve escalated customer issues received from the member, provider, employer groups or brokers while remaining calm and professional. \xe2\x80\xa2 Provide interpretation services for all product lines via the contracted language line service as appropriate. \xe2\x80\xa2 Flexible hours, including weekends and evenings, as department or training needs dictate and at the discretion of management may be required.
- Effective problem resolution skills that demonstrates balance of company and customer needs. \xe2\x80\xa2 Demonstrated ability and learning agility to adapt to organizational changes including business processes, systems and technology. \xe2\x80\xa2 Joining a team of Customer Service Representatives and building a positive relationship of teamwork, trust, reliability and excellence. \xe2\x80\xa2 Understanding and striving to meet or exceed call center metrics while providing excellent customer service.
- Taking part in training and other learning opportunities to expand knowledge of company and position. \xe2\x80\xa2 Perform other duties as assigned. QUALIFICATIONS: \xe2\x80\xa2 Exceptional telephone manner, customer service skills, active listening skills, verbal and written communication skills. \xe2\x80\xa2 Ability to resolve conflict and diffuse tension \xe2\x80\xa2 Strong time management skills and decision- making skills.
- Ability to read, comprehend, and explain health insurance benefits in a clear, concise, and professional manner. \xe2\x80\xa2 Ability to work under stress with production and quality standards. \xe2\x80\xa2 Proficient in Microsoft Office applications. \xe2\x80\xa2 Highly organized and attentive to detail.
- Flexibility, ability to adapt to change. \xe2\x80\xa2 Successful completion of Health Care Sanctions background check. \xe2\x80\xa2 Bilingual skills a plus. EDUCATION/EXPERIENCE: \xe2\x80\xa2 High school diploma or equivalent required \xe2\x80\xa2 1-year customer service experience with direct interactions with customers \xe2\x80\xa2 Contact center or medical field experience preferred CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin
Beware of fraud agents! do not pay money to get a job
MNCJobz.com will not be responsible for any payment made to a third-party. All Terms of Use are applicable.
Related Jobs
Job Detail
-
Job IdJD4252401
-
IndustryNot mentioned
-
Total Positions1
-
Job Type:Full Time
-
Salary:Not mentioned
-
Employment StatusPermanent
-
Job LocationTulsa, OK 74119, United States
-
EducationNot mentioned