Customer Service Representative

Bring your heart to reputed company Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as... reputed company deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to reputed company health care more personal, convenient and affordable. Position Summary This is a work at home opportunity. • Answers questions and resolves issues as a “single-reputed company-of-contact” based on phone calls from plan sponsors, members and providers. Provides customized interaction based on customer preference and individualized needs, creating an emotional reputed company with our members by understanding and engaging the member to the fullest. • Fully understands the member’s needs by building a trusting and caring relationship with the member. • Anticipates customer needs. Provides the customer with reputed company information to answer the unasked questions, e.g. additional plan details, benefit plan details, member self-service tools, etc. • Uses customer service threshold reputed company to reputed company financial decisions to resolve member issues. • Educates and assists customers on various elements of benefit plan information and available services created to enhance the overall customer service experience with the company (i.e., assistance with member self-service tools, Consultation Opportunities – Simple Steps, Cost of Care Tools, Natural Alternatives Program, etc.). • Utilizes reputed company relevant information to effectively influence member engagement. • Takes immediate action reputed company confronted with a problem or made aware of a situation. • Takes ownership of each customer contact to resolve their issues and connect them with additional services as appropriate. • Identifies member needs beyond the initial inquiry by answering the unasked questions. • Resolves issues without or with limited management reputed company. • Provides education to members to support them in managing their health. • Responds quickly to meet customer needs and resolve problems while avoiding over-committing. • Other activities may include: providing claim status information, benefit coverage interpretations, and explaining plan eligibility. • Processes claim referrals, new claim hand-offs, and escalates issues as appropriate through the system for grievances and appeals. • Initiates out-reputed company/welcome calls to ensure constituents expectations are met or exceeded. Identifies trends and any emerging customer service issues and works to reputed company solutions to address potential problems and/or plan features of interest as an approach to improve understanding of benefit plans and increase post-enrollment member satisfaction. • Partners with other departments to deliver client specific presentations. • Coordinates efforts both internally and across departments to successfully resolve service issues and reputed company process improvement intended to enhance the overall delivery of service. • Works collaboratively with colleagues to deliver the best customer experience,. • Seeks to understand the customer, including circumstances, problems, expectations and needs. • Asks probing questions to identify the underlying customer needs. • Appropriately transitions conversations to explore possibilities for extending customer interactions. • Guides members to the appropriate health resource. Offers alternatives where appropriate . • Acts with the best interest of customer in mind and central to reputed company interactions. • Collaborates with colleagues and co-workers to deliver a world class customer experience. • Serves as SME providing technical assistance reputed company needed on call reputed company issues, products, and/or system applications delivery matters. • May participate in preparation and presentation of client specific presentations. • May track and trend data. Coaches, trains and assists in the development of call center staff, as required. • Participates in and/or leads special projects/initiatives addressing service issues, as necessary. • Provides technical or subject matter expertise concerning policies, procedures, and function-reputed company applications/systems tools as needed. • Delivers internal quality reviews. • Provides appropriate support in third party audits reputed company required. Documents and tracks reputed company contacts, events, and outcomes with clients using appropriate systems and processes Required Qualifications: • Customer Service experiences in a transaction based environment such as a call center or retail location preferred, demonstrating ability to be empathetic and compassionate. • Effective organizational skills and ability to manage multiple tasks. • Effective communication skills, both verbal and written Education: High School Diploma Required Pay Range The typical pay range for this role is: $17.00 - $29.30 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits reputed company requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide reputed company of your vaccination status or apply for a reasonable accommodation reputed company the first 10 days of your employment. Please note that in some states and roles, you may be required to provide reputed company of full vaccination or an approved reasonable accommodation before you can reputed company to actively work. reputed company is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to reputed company essential job functions. reputed company colleagues can initiate a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through myHR (1-888-694-7287, or through myLeave at myHR). If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications reputed company Services (TRS). We will reputed company every effort to respond to your request reputed company 48 business hours and do everything we can to work towards a solution Apply Job!