Call Center Representative

• Own national phone performance against OKR targets (answer rate, speed to answer)
• Manage bi-weekly phone data review cadence, partnering with Data Analyst to generate data insights
• Manage Contact Center platform administration and evaluate/implement changes to improve performance.
• Identify and resolve staffing gaps, escalation patterns, and training needs
• Partner with Regional Operation Leads on market-specific phone issues, including investigations that surface from complaints.
• Serve as point person for operational system changes impacting front desk/member services workflows (e.g., EHR rollout, new scheduling tools, navigator)
• Lead project management for assigned initiatives: timelines, stakeholder communication, training rollout
• Act as liaison between Ops, IT, and Clinical teams during implementations
• Collaborate with the Ops Analyst to document process changes and roll out training to Operations staff.

Manager, Contact Center and Systems Operations

• Perform outbound calls to obtain appropriate information and document accurately
• Responsible for answering in-bound calls and assisting customers with pharmacy related services
• Maintain strict professionalism in all communication methods while providing efficient, courteous, and friendly service
• Contact insurance companies for benefit investigation and coverage eligibility
• Provide prior authorizations and appeals support
• Assist patients with the enrollment process for manufacturer and non-profit organization copay assistance programs
• Update job knowledge by participating in educational opportunities and training activities
• Work efficiently both individually and within a team to accomplish required tasks
• Maintain and improve quality results by adhering to standards and guidelines by meeting quality standards set forth by program KPI’s
• Report ADE’s according to program policy and guidelines
• Adhere to all HIPAA guidelines

Bilingual Care Manager – Patient Support Call Center

• Handle inbound calls, providing professional and accurate assistance to members, providers, and partners
• Research and resolve inquiries in a timely manner using multiple systems and resources
• Document all call interactions clearly and accurately
• Manage multiple responsibilities at once (taking calls, entering notes, navigating systems)
• Contribute to a positive, supportive, and performance-driven team culture

• Perform outbound surveys from home with respondents and accurately record their answers in both Spanish and English
• Collect and record opinions on topics from politics to customer satisfaction and beyond
• Work as part of Dynata’s Virtual Call Center team as a bilingual part-time telephone interviewer

Virtual Call Center Agent – Bilingual, Spanish/English

• Responsible for managing inbound calls throughout your entire shift
• Effectively utilize multiple tools and more than ten systems to accurately and efficiently assist travelers
• Handle emails and process requests while multitasking in a fast-paced environment
• De-escalate challenging calls
• Collaborate with the team
• Support side projects that showcase leadership and drive continuous improvement
• Meet and maintain Service Level Agreement (SLA) targets by ensuring timely response, resolution, and overall service quality standards

Call Center Agent – Travel Benefits

• receive all inbound and outbound calls for potential disability clients
• perform general office clerk duties (i.e., check email and Chat communication consistently)
• ask questions verbatim from a script to confirm eligibility for the potential client
• respect client confidentiality
• comfortable taking repetitive, back-to-back calls every work day
• flexibility to change work hours based on company needs
• performs other related duties as assigned

• Responsible for hiring, onboarding, and the development of talent (e.g. training, mentoring, knowledge, skills, tools);
• Provides support, coaching and corrective action, career planning and progression;
• Accountable for creating a team culture of engagement, compassion, and diversity.
• Manages team expenses, including labor budget allocations, overtime, scheduling and budgeted hours, timecard approval and oversight, and oversight of compensation and incentives.
• Demonstrates a high level of leadership acumen (e.g. excellent communication, approachable, follows through on commitments, trustworthy, purposeful); and subject matter expertise.
• Responsible for the operational workflow / performance of the team including employee metrics, department and company KPIs, obtainment of goals, continuous improvement, compliance to rules and regulations, and the delivery of superior service.
• Demonstrates subject matter expertise regarding contact center roles and responsibilities.

Contact Center Operations Supervisor

• Answering inbound calls promptly and professionally on behalf of our business clients
• Communicate fluently in both English and Spanish
• Take accurate, clear messages and relay them to clients in real time
• Schedule appointments and provide general client support per client instructions
• Following client specific call-handling instructions with care and consistency
• Deliver a warm, efficient, and courteous experience on every call

Bilingual Call Center Agent

• Partner with leadership to understand current customer experience and adjust staffing to improve customer experience.
• Create and maintain schedules for Customer Service staff to ensure optimal coverage for service level goals.
• Coordinate with appropriate staff and departments to schedule training, meetings and other events into the workforce management system.
• Administer staff scheduling needs and time off requests in a fair and consistent manner.
• Monitor call center activity and make recommendations for immediate changes to ensure call center coverage meets customers' needs.
• Monitor and record all exceptions to planned schedules to provide current analysis.
• Advise Call Center Management of expected performance concerns and recommend solutions.
• Create and distribute ad hoc reports as needed to analyze trends.

Call Center Analyst, Workforce Management

• Join our team as a Benefits Call Center Representative.
• Work in customer service.
• Solve complex problems and deliver solutions.
• Work collaboratively as a dependable team player.

Benefits Call Center Representative

• identify, track, and reconcile overpayments made to providers
• ensure that recovery is made and reported under general supervision
• perform all authorized duties in the processing of overpayments
• provide exceptional service to members, providers, group administrators, and attorneys
• manage high-volume intake calls and correspondence inventory effectively
• determine membership eligibility using various job aids and membership systems
• respond to calls, letters, faxes, and emails from policyholders, agents, vendors, and/or providers
• develop relationships with other business units and service partners
• adhere to company and department policies and procedures as well as HIPAA regulations

Recovery Specialist Associate – Call Center

• Answer and track incoming calls
• Prepare and submit accurate, detailed reports in government systems
• Train and onboard new CSRs
• Conduct database and open-source research
• Route and escalate calls appropriately
• Other duties, as assigned

Senior Call Center Representative

• Process clients’ first notice of loss claim reports received through Zurich’s phone & non-phone reporting options in a timely and accurate manner
• Resolve complex claims inquiries and problems, judging when to pass complex queries on to or involve others to provide an effective service and clear advice to colleagues and customers
• Liaise with internal and external clients to exchange information, clarify facts, and resolve queries and/or problems efficiently
• Provide feedback and recommendations to the team to improve the quality of customer care
• Follow procedures to ensure adherence to the company’s risk and compliance policies

Claims Call Center Representative

• Maintain excellent quality standards for all client programs; adhere to program scripts and guidelines.
• Accurately collect information required by individual programs and correctly capture in specific program databases.
• Exhibit effective communication and tele-management skills.
• Converse with callers in an empathetic manner and facilitate the callers in their ability to understand medical terminology, as needed.
• Possess effective organizational skills, including working with multiple projects simultaneously.
• Adhere to all company policies and Standard Operating Procedures.
• Display flexibility within department to maximize utilization, including performing administrative and non-telecommunication duties as needed.
• Must safeguard patient privacy and confidentiality by following the guidelines set forth in the Privacy and Security Rules of the Health Insurance Portability and Accountability Act (HIPAA).

Call Center Representative jobs in Nevada

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Manager, Contact Center and Systems Operations

Bilingual Care Manager – Patient Support Call Center

Call Center Representative

Virtual Call Center Agent – Bilingual, Spanish/English

Call Center Agent – Travel Benefits

Call Center Representative

Contact Center Operations Supervisor

Bilingual Call Center Agent

Call Center Analyst, Workforce Management

Benefits Call Center Representative

Recovery Specialist Associate – Call Center

Senior Call Center Representative

Claims Call Center Representative

Contact Center Representative