Customer Service Rep (Level Care) -Remote [PA, DE, NJ]
Indexed description
Customer Service Representative Responsibilities
- Attains and keeps current with the knowledge and skills required to provide information, service, and assistance in response to all inquiries.
- Available as assigned to accept calls in a professional and courteous manner.
- Determines the nature of the call and takes all possible action, including research, completing forms, or any follow-up, to expeditiously ensure the provision of accurate information, service, and assistance upon first contact.
- Acquire knowledge of all claims systems applications and member service systems.
- Prepares and forwards appropriate requests to operating areas to accomplish action required as a result of the inquiry.
- Checks internal system inboxes to ensure completion and follow-up action. Obtains required information and makes a callback when necessary to complete action on inquiries.
- Meets quality performance standards and works within established time frames.
- Acknowledges each piece of mail and responds to written inquiries either by telephone or letter as required in a professional manner.
- Advises the Supervisor when any of the above accountabilities cannot be performed because of matters beyond the control of the Representatives, such as system, procedural, or administrative errors that indicate a trend.
- Ability to ask effective probing questions and deescalate challenging member inquiries and concerns.
- Supports the area in the ongoing use of TQM principles in a continuous quality improvement process.
- Performs other duties as assigned.
- The Call Center is open from 8:00am-11:00pm EST—we ask for flexibility with these hours as business needs dictate our business hours. We do offer an 8% Shift differential for those working the later shifts.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
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