Performs as the advocate that focuses on resolving routine inquiries, issues or concerns for members and/or providers
Leverages a variety of communication channels to provide members and/or providers with timely, accurate, and personalized support on routine complaints and escalations
Assesses and researches routine member and/or provider inquiries, requests and/or concerns to determine causes, and initiates corrective actions to other service or technical departments for follow up as needed
Mitigates and prevents complaints from being escalated to resolve in initial contact
Serves as the front-line resolution advocate on various member and/or provider inquiries, requests, or concerns
Provides support on various member or provider issues to ensure customers receive high-quality service
Maintains performance and quality standards based on established contact center metrics
Provides customer service in a high pace contact center environment over the phone, via live chats and emails
Documents all member or provider information and communications for quality and performance tracking through the Customer Relationship Management (CRM) applications
Remains up-to-date and adheres to quality standards, regulations, and all other policies to ensure quality, consistency, and compliance
Provides expertise in resolving multiple inquiries, requests and/or concerns across all areas of responsibilities
Performs other duties as assigned
Requirements
Requires a High School diploma or GED
Requires 1 – 2 years of related experience
Experience interacting with members and/or providers in a contact center environment preferred
Benefits
competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.