NJM Insurance Group

Call Center Associate

NJM Insurance Group

full-time

Posted on:

Location Type: Hybrid

Location: Newark • New Jersey • United States

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Salary

💰 $45,698 - $60,803 per year

About the role

  • Provide excellent service to customers through the resolution of basic customer inquiries received by phone or through written correspondence.
  • Receive customer inquiries via phone, fax, mail, e-mail, etc.
  • If necessary, probe for additional helpful information (i.e. member ID, claim number, name, etc.) to effectively handle inquiry.
  • Review computer systems and/or other reference materials to complete verification process.
  • Initiate investigation process based on the nature of the inquiry (claim, member information, benefits, enrollment, appeals, etc.).
  • Utilize available resources to quickly and efficiently resolve or redirect inquiries in accordance with prescribed departmental process.
  • Accurately document customer inquiries and actions taken in accordance with departmental quality guidelines to ensure appropriate follow up.
  • Follow up on unresolved issues in a timely manner, escalating call trends to management.
  • Deliver an excellent customer service experience while meeting quality and production standards.
  • Perform other relevant tasks as assigned by management.

Requirements

  • High School Diploma/GED required
  • Some experience in a call center or customer service role within the health insurance industry preferred.
  • Knowledge of medical terminology and medical billing coding preferred
  • Excellent Customer Service skills
  • Ability to manage and diffuse irate calls
  • Ability to work in a high pressure, fast pace environment
  • Keyboarding proficiency
  • PC proficiency
  • Strong verbal and written communication
  • Interpersonal skills (i.e. active listening)
  • Investigative and analytical skills
  • Ability to multitask
  • Time management skills
  • Flexibility and adaptability
  • Ability to work effectively within a team environment
Benefits
  • Comprehensive health benefits (Medical/Dental/Vision)
  • Retirement Plans
  • Generous PTO
  • Incentive Plans
  • Wellness Programs
  • Paid Volunteer Time Off
  • Tuition Reimbursement
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
medical terminologymedical billing codingkeyboard proficiencyPC proficiency
Soft Skills
customer serviceability to manage irate callsability to work in high pressure environmentstrong verbal communicationstrong written communicationinterpersonal skillsinvestigative skillsanalytical skillsability to multitasktime management
Certifications
High School DiplomaGED