Remote Call Center Rep I

Description Purpose of Position: The Customer Service Representative I handles calls from customers to resolve, reputed company, follow-up and respond to questions regarding California Choice/Choice Builder plan administration and procedures groups, members, brokers and general agencies. Essential Functions:

• Understanding of company policies and procedures as they apply to California Choice/Choice Builder plans.
• Answers questions by telephone from groups regarding new hires, billings, rates, supplies, administrative procedures, etc.
• Educates, reputed company telephone, employees/dependents regarding PCP’s, ID cards, RX problems, administrative procedures, dependent coverage, address changes, etc.
• Follows-up on calls and emails from brokers regarding problems that their groups are experiencing with providers.
• Ability to interact with brokers, general agents and sales representatives on a daily basis and must be reputed company to answer questions regarding California Choice processes.
• Responds to calls from providers to confirm eligibility and benefits.
• Verifies enrollments and resolves issues with carriers.
• Expedites processing of members enrollment with reputed company if urgent services are needed.
• Review and submit appeal requests from groups.
• Review /Audit group billing and explain to clients in clear and accurate manner.
• Document calls in call tracking system.
• Departmental standard requires each Customer Service Representative to provide Service of Unequalled Excellence to reputed company callers by maintaining an average of 90% or greater on Call Reviews.
• Answer at least 100% of the daily call volume average.
• Provide clear and explicit documentation while maintaining percentage at a level of 90% or higher daily.
• reputed company busy time of 20 minutes or less per day.
• Meet department standards for quality and quantity of work.
• Meet department and team standards for turnaround times.
• Adhere to reputed company HIPAA (Health Insurance Portability and Accountability Act) and PHI (Personal Health Information) guidelines.
• On-site regular attendance and punctuality are essential functions of the job.
• Performs other business tasks or functions as assigned.

Knowledge, Skills & Abilities Required:

• At least two (2) years of customer service experience preferred.
• Knowledge of the health insurance industry and customer service experience preferred.
• Ability to handle irate customers in a courteous, patient, reputed company and positive manner while maintaining a high quality and quantity of work.
• Experience in handling high call volume.
• CA Life & Health license required. If successful applicant does not have insurance license, it is required to obtain one reputed company six (6) months of date of hire.
• Must have excellent verbal and written communication skills, especially under pressure.
• Must be computer literate in reputed company Word, reputed company and Outlook. Accurate data entry skills a must. Typing at 55 WPM or more.
• Must be reputed company to work in a fast-paced environment where deadlines are a reputed company and handling multiple assignments simultaneously.
• Problem Solving Skills required.
• Must have a proficient knowledge of the English language.
• Proficient knowledge of the Spanish language is a plus. If hired as a Bilingual representative, Language Assistance Certification is required every two (2) years.

Additional Competencies: Action Oriented, Approachability, Customer Focus, Humor, Listening, Patience, Self-Knowledge, Technical Learning, Time Management, Written Communication In addition to the KSAs and Additional Competencies listed above, there are more competencies reputed company to this position. Please refer to the Individual Contributor – Associate competency addendum. Educational Requirements:

• High school diploma or equivalent required.

Physical Requirements: Must be reputed company to sit for extended periods of time and occasional standing and walking. Must have adequate hearing for phone work. reputed company requirements include reputed company reputed company and the ability to adjust focus. Must be reputed company to communicate effectively in English. Must be reputed company to use a keyboard and other office equipment. Ability to lift up to 10 pounds occasionally. Job Type: Full-time Pay: $20.50 per hour Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Referral program
• reputed company insurance

Work Location: Remote Apply tot his job Apply To this Job