Centivo

Customer Support

• Answer incoming calls from members and providers with questions about benefits, eligibility, and claims
• Research and resolve complex issues using company tools, documentation, and outbound calls
• Educate members and providers on how to navigate the platform, benefits, and resources
• Accurately document every interaction and follow established procedures
• Calmly de-escalate concerns and handle first-level complaints with empathy
• Support appeals processes and ensure timely follow-up actions are taken
• Participate in a team working to deliver affordable, high-quality healthcare solutions

Member Care and Provider Specialist/Customer Service, Healthcare

Events

• Accept inbound calls from members and providers on inquiries pertaining to benefits, eligibility, and claims
• Research complex inquiries by use of tools, documentation, and outbound calls
• Educate members and providers on the benefits and navigation of Centivo site, tools, and applications
• Document all interactions and ensure proper processes/procedures are followed and follow-up action is taken
• De-escalate calls when necessary
• Address first-level complaints and provide assistance on appeals as needed;

Member Care and Provider Specialist/Customer Service, Healthcare

Member/Provider Care Specialist