About this role
Position Title: Customer Care Representative 1 and 2 Shift:
Job Description: Responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues.
Must pass the appropriate pre-employment test battery.
• Primary duties may include, but are not limited to: • Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims. • Analyzes problems and provides information/solutions. • Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database. • Thoroughly documents inquiry outcomes for accurate tracking and analysis. • Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner. • Researches and analyzes data to address operational challenges and customer service issues. • Provides external and internal customers with requested information. Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature. • Uses computerized systems for tracking, information gathering and troubleshooting. • Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims. • Seeks, understands and responds to the needs and expectations of internal and external customers. Required to meet department goals. • Requires a HS diploma or equivalent; up to 1 year of previous experience in an automated customer service environment; or any combination of education and experience, which would provide an equivalent background.