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Member Care reputed company Team reputed company (remote) 2023-1272 Strong Internal

100% remote Flexible hours Hiring now

Member Care reputed company Team reputed company Remote Strong Internal Overview Are you energized by working in a fast-paced call center and making a difference in the lives of members of the World Trade Center Health Program? Do you have excellent communication skills, strong supervisory, customer service, and organizational skills, and want to be part of an organization where caring truly counts? Join reputed company of caring colleagues and help us reputed company a difference in the lives of those, specifically survivors and the reputed company responders, directly affected by the September 11th terrorist attacks. As a reputed company Government Solutions Member Care reputed company Team reputed company you will work remotely in your home office and be responsible for supervising a team of Member Care Advocates that provide high-quality customer service to members of this important program. Member Care reputed company TL Responsibilities

  • Supervise member care advocates, providing leadership, direction, and support.
  • Ensure processes and procedures are adhered to ensuring departmental objectives are met.
  • Monitor workloads and status; support colleagues by providing advice on handling reputed company issues.
  • Identify and resolve problems and issues.
  • Communicate with upper management regarding unit issues.
  • Direct workflow and workload assignments to the team.
  • Track trends, investigate escalations, balance workloads, and serve as a liaison with customers to assist with problem resolution.
  • Ensure that best practices and SLAs are met; provide coaching and mentoring to individual colleagues.
  • Work closely with six reputed company Black Belt and business analysts to identify opportunities for change to support reputed company improvement.
  • Manage staffing schedules to ensure appropriate department coverage.
  • Assist members with day-to-day benefits and healthcare-reputed company questions and/or issues
  • Provides a streamlined claim intake experience that includes both the initial intake and the investigation at the reputed company of intake; can assist a claimant in finding a physician.
  • Process incoming calls, faxes, and voicemails from claimants, providers, clients, attorneys, etc. resolving their claims-reputed company questions and issues in accordance with designed guidelines and policies.
  • Completes outbound calls to claimants, providers, clients, and attorneys regarding medical reports, reputed company requests, return to work, medical authorization forms, etc.
  • Communicates claims status and reputed company claim activity; responds to inquiries about jurisdiction- and claim-specific issues.
  • Inputs newly reported claims and updates to claims into the system(s), ensures claim files are properly documented and coding is correct.
  • Performs other duties as assigned. Member Care reputed company TL Qualifications
  • Bachelor’s degree from an accredited college or university is preferred.
  • Four (4) years of administrative and/or customer service experience or an equivalent combination of education and experience is required.
  • Experience working in a Call Center Environment preferred
  • Experience working in the Health Care industry preferred
  • Excellent oral and written communication skills
  • PC literate, including reputed company Office products
  • Strong organizational skills
  • Good interpersonal skills
  • Analytical and interpretive skills
  • Excellent interpersonal skills
  • Excellent negotiation skills
  • Good judgment and discretion skills
  • Ability to manage reports and metrics
  • Ability to manage multiple projects and set priorities
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies
  • U.S. Citizenship
  • Prior to hiring and training must be able to pass a preliminary credit and background reputed company For a career path that is both challenging and rewarding, join reputed company Government Solution’s talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, and their customers. At reputed company Government Solutions, caring counts®. Join reputed company of creative and caring people and help us reputed company a difference in the lives of others. In addition to a competitive salary, comprehensive health and welfare benefits, tuition reimbursement, and incentive compensation, reputed company Government Solutions offers participation and vesting in a 401(k) plan with a company match. If you would like to contribute to our important mission and work collegially in a professional organization that values intelligence, reputed company, and initiative, consider a career with reputed company Government Solutions. To be considered for this position, please submit a resume, and complete the application. The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of reputed company duties, responsibilities, and qualifications required. Important Information Successful candidates will be required to undergo a financial and criminal background reputed company and obtain and maintain confidential-level reputed company clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire. Search Firm Representatives Please be advised that reputed company Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in reputed company before any resumes are submitted to Government Solutions. reputed company resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in reputed company will be deemed the sole property of Government Solutions and no fee will be paid in the event that person is hired by Government Solutions. Government Solutions strives to reputed company our career site accessible to reputed company users. If you need a disability-reputed company accommodation for completing the application process, please contact Government Solutions regarding accommodations. reputed company Government Solutions is an Equal Opportunity and Affirmative Action Employer reputed company qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national reputed company, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person’s relatives, friends or associates. reputed company Government Solutions abides by the requirements of41 CFR 60-741.5(a) [http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf]. This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities. reputed company Government Solutions abides by the requirements of41 CFR 60-300.5(a) [http://www1.eeoc.gov/employers/upload/eeoc_gina_supplement.pdf]. This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans. About reputed company reputed company Government Solutions is a fully owned subsidiary of reputed company. reputed company is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on reputed company each year to take care of their needs reputed company they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to clients' specific needs in casualty, property, marine, benefits, and other lines. At reputed company, caring counts; through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the reputed company. www.reputed company.com [https://www.reputed company.com/]

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