Call Center Service Associate
o Provide excellent service to customers through the resolution of basic customer inquiries received by phone or though written correspondence.
o
Responsibilities:
o Receive customer inquiries via phone, fax, mail, e-mail, etc.
o If necessary, probe for additional helpful information (i.
e.
member ID, claim number, name, etc.
) to effectively handle inquiry.
o Review computer systems and/or other reference materials to complete verification process.
o Initiate investigation process based on the nature of the inquiry (claim, member information, benefits, enrollment, appeals, etc.
).
o Utilize available resources to quickly and efficiently resolve or redirect inquiries in accordance with prescribed departmental process.
o Accurately document customer inquiries and actions taken in accordance with departmental quality guidelines to ensure appropriate follow up.
o Follow up on unresolved issues in a timely manner, escalating call trends to management.
o Deliver an excellent customer service experience while meeting quality and production standards.
o Perform other relevant tasks as assigned by management.
Recommended Skills Customer Service Appeals Estimated Salary: $20 to $28 per hour based on qualifications.
o
Responsibilities:
o Receive customer inquiries via phone, fax, mail, e-mail, etc.
o If necessary, probe for additional helpful information (i.
e.
member ID, claim number, name, etc.
) to effectively handle inquiry.
o Review computer systems and/or other reference materials to complete verification process.
o Initiate investigation process based on the nature of the inquiry (claim, member information, benefits, enrollment, appeals, etc.
).
o Utilize available resources to quickly and efficiently resolve or redirect inquiries in accordance with prescribed departmental process.
o Accurately document customer inquiries and actions taken in accordance with departmental quality guidelines to ensure appropriate follow up.
o Follow up on unresolved issues in a timely manner, escalating call trends to management.
o Deliver an excellent customer service experience while meeting quality and production standards.
o Perform other relevant tasks as assigned by management.
Recommended Skills Customer Service Appeals Estimated Salary: $20 to $28 per hour based on qualifications.
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