Call Center Customer Service Representative

Company: Integrity Staffing Solutions
Location: Southfield
Posted on: January 21, 2023

Job Description:

Call Center Customer Service Representative

-

About the Position

Our client is a nonprofit corporation health insurance company doing business in the state of Michigan. Their mission is driven with a purpose to provide people with the security of knowing they have health care when they need it. They are accomplishing this in many ways, including offering access to health care coverage for everyone, regardless of circumstances & contributing more money than any other company to provide Michigan with better health and health care.

-

Job Duties and Responsibilities

Evaluates, and resolves inquiries involving a variety of claim, benefit, membership, and/or billing inquiries.

• 
  
• Conducts internal and external research to determine and request the data needed to handle inquiries from internal and external business partners.
  
• Provides accurate and timely servicing responses via telephone, and/or written correspondence to our internal and external customers.
  
• Follows department/corporate reporting policies and procedures requirements.
  
• Organizes work to meet productivity and quality standards.
  
• Reroutes misdirected inquiries.
  
• Interacts with others inside and outside the organization to resolve inquiry/claim-related problems.
  
• Resolves customer inquiries through clear and simple explanations of the applicable policy and/or procedure.
  
• May assist less experienced Customer Service Representatives and handle unusual or urgent inquiries, including irate calls.
  
• Perform other related duties as assigned.
  
  
  -
  
  Job Requirements
  
  
  • 
    
  • A high school graduate or GED equivalent is required.
    
  • One year of related work experience in areas such as public/customer service, sales representatives claims processing, membership/billing/enrollment; and one (1) year of customer service experience in positions such as teaching, social service work, bank teller, medical assistant/office assistant, retail.
    
  • Demonstrated knowledge of policies, practices, and procedures related to membership, billing, contract coverage or changes, rating and eligibility requirements, and/or claims processing.
    
  • Demonstrated ability to resolve inquiries related to benefits, claims to process, and/or membership/billing, with little or no assistance.
    
  • Demonstrated command of all oral, written, and interpersonal skills necessary for communications with subscribers, beneficiaries, accounts or providers, in a clear, concise, and tactful manner.
    
  • Employees shall meet a twenty-four (24) month tenure requirement, excluding training.
    
  • Other related skills and/or abilities may be required to perform this job.
    
  • All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status, or status as an individual with a disability.
    
  • Must be fully vaccinated before starting position.
    
    
    -
    
    Benefits and Perks
    
    
    
    This is a Direct Placement position.
    Career growth opportunities and skill development
    They have a tuition assistance program - reimbursement program
    Awesome training ground for limited experience: Minimal experience required (Specifically they ask for about 1-year experience in any customer-facing role)
    Super affordable healthcare, Includes medical, dental, and vision: A single member would potentially pay less than $4 per month and a family (regardless of size) would pay less than $20 per month for health benefits
    Pension, 401K and PTO
    
    
    -
    
    If you have the above experience and are immediately available, please APPLY NOW and include your resume for consideration!
    
    -
    
    -
    
    FIXFEEDS
    
    XLR8
    
    OPENCLER
    
    Integrity CB1
    
    -
    
    -

Keywords: Integrity Staffing Solutions, Southfield , Call Center Customer Service Representative, Sales , Southfield, Michigan