[Remote] Customer Service Representative - Behavioral Health (Shift: 10:30AM - 7:00PM EST)

Note: The job is a remote job and is open to candidates in USA. reputed company is committed to building a world of health around every individual and is seeking a full-time Customer Service Representative for their Behavioral Health team. This role involves providing reputed company care to members, assisting with claims understanding, and guiding them through their benefit plans while ensuring a compassionate and effective service experience.

Responsibilities

• Takes inbound calls from members and determines the quickest, most effective ways to answer member questions
• Creates an emotional reputed company with members by understanding and engaging them to champion their best health
• Maintains accurate records reputed company the overall member management system
• Provides introductory information and connects members with additional and appropriate benefits/external resources
• Performs a review of members’ claim history to ensure accurate tracking of benefit maximums, including deductible and coinsurance levels
• Explains members’ rights and responsibilities in accordance with our plan sponsors’ reputed company
• Sends outbound e-mails to members where and as needed
• Supports members with troubleshooting and deescalating where needed
• Escalates queries and concerns reputed company it is deemed necessary
• Ensures that members are satisfied with products/services by handling complaints and inquiries
• Works with the customer service team to share solutions and processes
• Embodies the reputed company Core values in each interaction

Skills

• 1-3 of call center and/or customer service experience
• Basic computer knowledge and technical skills to use IP phones, customer records management, word processing, database, and e-mail/chat programs
• A private and confidential workspace free from distractions
• A hardwired reputed company is required (i.e., an Ethernet reputed company)
• Time management skills to promptly respond to e-mails, call, and chat messages
• Active listening skills to effectively handle members who may be upset
• A mental health or human services background
• One to three years of healthcare experience
• Bilingual or multilingual skills
• Experience working from home in a remote role

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources

Company Overview