Customer Service Representative I

Job Title: Customer Service Representative 1

Duration: 31 weeks (Temp to Hire)

Location: Franklin TN 37067

Responsibilities:

·Handles customer service inquiries and problems via telephone, internet or written correspondence.

·Customer inquiries are of basic and routine nature.

·Our call center is open from 7 am to 8 pm Central Time. They could have an eight hour shift that falls within our business hours.

·Answers questions and resolves issues based on phone calls/letters from members, providers, and brokers.

·Triages resulting rework to appropriate staff.

·Documents and tracks contacts with members, providers and brokers.

·Explains member's policy benefits and coordination with Medicare

·Handle complaints (member/provider), via relevant recording/reporting system

·Ensures compliance with requirements of regional compliance authority/Medicare

·Determines applicable coverage provisions and verifies member plan eligibility

·Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.

·Performs financial data analysis as necessary.

·Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received

·Adheres to international privacy policies, practices and procedures

Requirements:

·CSR must be able to read from a script.

·CSR must be able to type 30-35 WPM.

·CSR's should have at least a year of Medicaid/ Medicare experience.

·CSR must have Call Center/ Contact Center background

·Typing test/computer skills testing REQUIRED

·Family Summary/Mission To increase member satisfaction, retention, and growth by efficiently delivering competitive services to members and providers through a fully-integrated organization staffed by knowledgeable, customer-focused professionals supported by exemplary technologies and processes.

·Position Summary/Mission Handles customer service inquiries and problems via telephone, internet or written correspondence.

·Customer inquiries are of basic and routine nature.

If you are not interested in looking at new opportunities at this time I fully understand. I would in that case be appreciative of any referrals you could provide from your network of friends and colleagues in the industry. We do offer a referral bonus that I’d be happy to extend to you if they turn out to be a great fit for my client.