Gain full understanding of Employee Assistance Programs and Managed Care products and transfer knowledge into satisfying our caller's needs and concerns
Allow the caller to express their needs, concerns, and questions without interruption
Listen effectively to identify and respond to the needs of the caller while remaining empathetic and assuring in matters of behavioral health
Read, comprehend and explain behavioral health benefits in a clear, concise and professional manner
Respond to call by providing correct benefit and status information while remaining professional and empathetic at all times. Information may include transferring or referring the caller to the appropriate department within ComPsych or conferencing the call with an outside party
Maintain the following consistently: an average call time of less than 4 minutes, after call work under 3 minutes, abandonment rate below 3%, resolve the customers issues, by remaining professional on the phone and end the call with the ComPsych close
Document the call efficiently with detail into software database
Identify and research claim errors and appropriately send written adjustments to the Claims Department
Establish and maintain strong relationships with Guidance Resources Unit, Care Management and Network Services team members within ComPsych
Partner with other customer service and claim team members to respond quickly to customer needs consistently and positively in order to foster a team environment
Other duties as assigned
Requirements
High School Diploma required
Bi-lingual Spanish preferred
Customer service inbound call center experience required; experience in insurance, benefits, healthcare, or human resources preferred
Knowledge of CPT/ICD-9 preferred
Stable work history required
Computer literacy in Microsoft Office Suite required
Benefits
Full benefits package, including Paid Time Off (PTO)
medical
dental
vision
401(k) with match
robust EAP
wellness program
and much more
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
CPTICD-9customer servicecall center experienceinsurance knowledgebenefits knowledgehealthcare knowledgehuman resources knowledgecomputer literacyMicrosoft Office Suite
Soft skills
effective listeningempathycommunicationproblem-solvingrelationship buildingteam collaborationprofessionalismconcisenessattention to detailcustomer focus