Customer Service Representative, CAC
Sentara Health
Bilingual Spanish/English Customer Service Representative
Carrie Rikon & Associates, LLC
contract
Posted on:
Origin: • 🇺🇸 United States • Florida
Visit company websiteSalary
💰 $14 per hour
Job Level
Mid-LevelSenior
About the role
- Provide comprehensive assistance to callers with inquiries related to their employer's benefit programs
- Support members in filing claims, setting up direct deposits, and issuing new vendor cards
- Update and maintain member demographic information across internal and external systems
- Capture and advise on plan elections, aiding employees in understanding and utilizing their benefits
- Conduct provider searches and enroll dependents
- Act as a liaison for escalated issues, working closely with Account Managers to resolve complex inquiries
- Manage a high volume of calls, employing de-escalation tactics and striving for first-call resolution
- Maintain detailed call logs to ensure thorough follow-up and resolution of member inquiries
- Participate in outreach campaigns and collaborate with account specialists and managers to monitor pending eligibility issues
Requirements
- Bilingual Spanish/English (title indicates Spanish/English speaking requirement)
- Exceptional communication skills, with the ability to clearly and empathetically assist callers
- Basic understanding of employee benefits, insurance terminology, and related products/services
- Proficiency with computer systems, including CRM platforms and Microsoft Office Suite; ability to learn new software quickly
- Experience with office equipment and technologies (fax, copier, postage machines)
- Capability to manage high call volumes and employ de-escalation tactics
- Team player who can also work independently
- Must live in Florida
