By the end of my tenure at Verizon, I had achieved the following results: Customer Service Rating= 98% over two years; Resolved 94% of … ', Ability to work on assignments with limited instructions from leadership, Good written and verbal communication skills, including professional telephone skills, Prepares benefit statements and year-end update of benefit records, Must have experience working with benefit packages, Responsible for the day-to-day service and administration of benefit plans for assigned clients using established procedures and detailed instructions, Performs benefit calculations where required, Provides basic advice and guidance to clients or plan members, Assists employees in the completion of appropriate forms, calculation of benefits or premiums, Liaises with actuarial staff, senior consultants or senior administrator/manager, as well as trust company and insurance company representatives, Monitors priority of calls and shifts escalated calls to assure resolution to problems, Coaches and advises less experienced administrators, Knowledge of general office equipment (copier, fax, phone systems, etc. Follow department scripting, Meet/exceed sales objectives on all calls, Maintain all established sales, quality and performance standards for the department, Utilize predictive dialer to initiate outbound sales, retention and survey calls, Navigate corporate website and other resources to provide members with pricing, promotions and service information, Adhere to organization policies and procedures, One year of experience in an office or health care setting, Knowledge of Microsoft Word, Excel, and Windows, Excellent keyboarding skills and familiarity with copiers, faxes and telephone equipment, High School diploma or General Equivalency Degree (GED), Handling phone calls regarding garnishment related questions from our clients, client's employees, custodial parents and agencies who ensure ADP is in compliance with federal and state garnishment laws, Processing inquiries from our operations department when documents are received advising that notifications or payments have not been received, Up to 1 year of Directly Related Experience, Bachelor's degree or equivalent in education and experience, One plus years of Call Center experience with a high emphasis on client service, Experience with payroll or payroll garnishments, Able to work well under pressure while maintaining a professional and courteous demeanor at all times, PC skills a must to include proficient use of various Windows based applications, Proven ability to adapt to frequent changes and updates, Proven ability to follow operating procedures and instructions, Consistently provide members with exceptional customer service, Assist internal and external customers via incoming telephone calls, Actively listen to customers and respond appropriately, Utilize the BCBSMA computer system to look up and record information regarding a customer’s account, Investigate and resolve member inquiries through correspondence and computer research, Advise customers regarding policy and benefit information for multiple health plans, Coordinate internal activities necessary to research and resolve inquiries and provide accounts with service solutions, Contribute to a team effort to meet or exceed service, production and quality goals, Identify errors and implement solutions with team members and leaders, Meet and exceed daily, weekly and monthly performance goals, Provide a high level of service to both external and internal customers, Creative problem solving within a team environment, Desire to create a caring atmosphere for customers, Flexibility and willingness to change as business needs change within the division, College degree or comparable experience preferred, 2 plus years of successful work experience in a customer focused environment, direct customer contact via phone preferred, Prior experience assisting members and/or providers with telephone inquiries, Basic knowledge of personal computer operations and software packages, Experience in a Windows environment preferred, Excellent organizational, problem solving, communication and interpersonal skills, Complete follow-up paperwork and duties necessary to meet or exceed the caller’s expectations, Document calls on note screen of medical management software system, Complete necessary forms such as QM complaint forms, HIPAA response forms, New Member Survey, Transportation, Fraud & Abuse, Grievance, Case Management, Disenrolled member survey, PCP Assignments, and various reports, Phone coverage is provided in compliance with CMS regulations, Performance Measures are achieved and in compliance with established Health Choice Generations benchmarks and policies, High school diploma or GED equivalent, or an equivalent combination of training and experience, including working with customer service management systems to ticket and track call volume, Minimum of one (1) year experience working in a payroll environment or with payroll systems is required. Experience with PeopleSoft and Kronos preferred, Strong communication and problem-solving skills to articulate verbal and written resolution to customers by telephone or email in a professional manner, Flexibility and a consistent positive attitude while resolving customer inquiries and issues, Ability to multi-task and create call incidents to track customer inquiries while simultaneously closing out call transactions, Resolves routines questions and problems, and refers more complex issues to higher levels, Enters outpatient billing information into computer software system, Perform general office tasks such as preparing copies and printing reports, Delivers menus and other food service related items to inpatient nursing units, 0-2 years telephone-based customer service experience, Must exhibit a professional and positive image when interacting with patients, departmental staff members and allied health professionals, Willingness to be a team member with the ability to be flexible and adapt to a changing work environment, Competent using technology such as hand held computers, word processing, data entry, spreadsheets, and email. Routes patients to appropriate resources. You’ll also need a resume to get contacted by employers. Prepares customer correspondence as needed. Must be able to read out loud to caller, May make changes to primary care physician Performs established performance metrics, such as quality, production; average handling time (AHT) and calls per hour (CPH), Works with close supervision or detailed instruction Education Requirements, Clear and effective communication, oral and written Ability to multi task PC skills (with average typing speed of 35 WPM), Customer Service experience and/or call center or heavy phones experience, Responds to incoming calls from both internal and external customers. Schedules and confirms initial and followup appointments, as necessary, Enters data in a variety of client management computer systems. Call Center Representative responsibilities include: Managing large amounts of inbound and outbound calls in a timely manner; Following call center “scripts” when handling different topics; Identifying customers’ needs, clarify information, research every issue and providing solutions Job brief Experience working within a computer mainframe a plus, 1-2 years of experience in health plans or customer service, Comfortable working in a busy environment, Directs caller to appropriate department or individual or takes a thorough message, Assists with clerical duties as requested, Prior experience doing phone customer service work in the healthcare industry, Strong telephone soft skills gained from prior customer/patient experience in a similar call center role, Proficiency with computer platforms and applications, 2+ years of previous experience working in an inbound call center environment, Proficient with office equipment such as printer, copier, fax, scanner, etc, Commitment to guard Protected Health Information and adhere to HIPAA guidelines, Proactive outreach to retain customers and maintain high level of customer satisfaction, Work as a part of a unique, customer centric team, Put yourself in the customer’s shoes and do what it takes to turn bad experiences into great ones, Educate customers on the specifics of our service and how to make the most out of their membership, 1 year+ experience in a call center or customer service team, Proficiency with computer platforms and applications, particularly Microsoft Excel, Knowledge of Unity 23, Mysis and HHC Advantage, Performing a variety of transactions on the customer’s behalf such as: funds transfers, stop payments, debit card increases, address changes and check orders, Opening and processing all types of consumer deposit accounts over the telephone and through internet applications and taking consumer loan applications over the phone, Suggesting appropriate products and services to existing and prospective customers and cross-sells other bank services such as Visa Credit Cards, 3+ years of relevant work experience and/or a Bachelor's Degree, Prior call center and telemarketing, inside sales, or customer retention experience, Answer incoming calls from customers, document all necessary information and take comprehensive notes regarding calls, Enter and process customer orders and requests in an accurate, timely and efficient manner, Must meet or exceed quality metrics and customer expectations, Use excellent communication and customer service skills to provide customers with accurate, consistent, and timely responses, 1-3 years of experience in customer service in a call center environment, Ability to research and analyze data effectively, Strong computer skills including proficiency with Microsoft Word, Excel, PowerPoint, Access, Outlook, and web-browsers, Compose emails in response to dealer and service center inquiries, Correspond in a professional and courteous manner, Convey excellent telephone, written (typing and composition), PC computer, and, Work and problem solve in a fast paced environment, Demonstrate detail oriented work ethic with strong organizational skills, Minimum of 1- to 2-years of telephone sales or customer service experience, Strong PC computer skills with particular strength in internet communication, Knowledge of Fender product lines is strongly preferred, Ability to work and problem solve in a fast-paced environment with minimal supervision, Detail oriented with well-developed organizational skills, Answers inbound calls and addresses queries from potential candidates regarding job openings along with various other types of inquiries and requests, Makes outbound calls in response to candidates received through other media including voicemail and email, Responsible for ensuring completion of all relevant fields on ATS to ensure complete candidate profiles, Ensure the timely flow of candidate information to Project Staffing Services for follow up, Supports the Call Service Supervisor and Call Center Manager to deliver on projects in a timely manner and in accordance with any agreed service level agreements, Additional duties as deemed appropriate or necessary by management to support business needs, Creates the customer experience that builds loyalty and persistency by presenting our customer with high-quality tangible value-added services through a focus on attitude and accommodations of Berkshire and Guardian’s disability insurance products, services, company operations and initiatives, Supports Berkshire’s and our customer’s standards for service quality and time standards. Professional customer service representative with over 3 years of experience in the customer service field. Relates to all customers in a friendly, accommodating, and respectful manner that creates good will, Sets high personal standards of performance and accepts responsibility and accountability of all actions, Committed to performance improvement and positive change and adheres to department dress code and proper hygiene when reporting to work and performing job duties, Candidate must be English/Spanish - Bilingual, Prior experience in healthcare subrogation, property casualty insurance, workers compensation or law office work related to healthcare claims, Medical terminology knowledge with knowledge of ICD-9/ICD-10 and CPT4 codes, Ability to communicate with a wide array of parties including members, medical providers, attorneys and insurance carriers, Able to work in a fast paced environment with workflows that change daily, Organization, attention to detail, good fit with department culture, Decision making, ability to make sound and timely decisions, Initiative, make things happen rather than reacting to situations, Perseverance, try alternatives when first efforts fail, Accurately respond to inbound healthcare claims and/or member telephone inquiries, Review, prepare, and process paper-based claims, industry-standard claim forms (e.g., universal claim forms), or direct member reimbursements, Ensure customers receive the best service through accurate and timely responses using online systems, Prior experience working within the healthcare claims field preferred, Complete account maintenance, address changes, lost/stolen reports, and returned mail updates, Obtain and analyze credit bureau information; verify employment and income; ensure compliance to adverse action; open new account types; work the mail/phone queues; assist in special projects, Decision accounts via the judgmental queues or reports, Ability to read and comprehend simple instructions, short correspondence, and memos. 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