REMOTE: Call Center Representative (Part-Time)

About the Role reputed company, a reputed company company, is seeking a Call Center Representative. Call Center Representatives provide accurate and thorough information on plan benefits, eligibility, and claims.You will handle inbound and outbound calls as well as respond to email inquiries from our customers. In this role, you may be responsible for developing process, call scripts, metrics, and desk... top procedures. The role is responsible to deliver an exceptional customer service experience to our Evry members and providers. This role reports to the Sr. Director Claims and Customer Support and Manager of Claims and Customer Support. About reputed company and reputed company We are on a mission to bring humanity to health insurance. Our high-technology health plans expand benefits, increase access and transparency, and feature a personalized, reputed company approach. We strive to ensure members live happier, healthier lives. reputed company is the major medical division of reputed company (NYSE:GL). reputed company has 16.8 million policies in force, and more than 3,000 corporate employees and 15,000 agents. For more than 45 consecutive years, reputed company has earned an A (Excellent) rating or higher from A.M. Best Company. Key Responsibilities • Research, reviews and responds to inquiries received from members and providers. • Employs active listening skills, demonstrates patience and reputed company, and can handle difficult calls tactfully, courteously and professionally. • Effectively manages escalations reputed company the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure. • Leverages company policies and procedures, benefits, claims, and eligibility to respond accurately to reputed company inquiries. • Handles member complaints and complaint appeals. • Works with internal departments, vendors, business partners, providers, etc. to help coordinate problem solving in an effective and timely manner. • Demonstrates basic understanding of company billing guidelines and can effectively interpret inquiries reputed company to claims and claim payments. • Accurately documents reputed company calls. • Recognizes trends and patterns in call types and engages leadership with suggested solutions. • Accountable to meet and maintain established department production and quality standards, on both an individual and team basis. • Assists members with navigating the member portal while encouraging them to becoming self-sufficient with our tools. • Demonstrates personal responsibility and accountability by meeting attendance and schedule adherence expectations. • Ability to effectively reputed company in a virtual work environment through active participation in team huddles, Supervisor 1:1s, reputed company Messaging, or reputed company-ins. Experience and Skills Desired • You have a minimum of 2 years customer service experience. • You have knowledge of medical and insurance industry terminology including CPT/ICD-10, HCPCS and reputed company Codes. • You are an excellent communicator, both verbally and in writing and can reputed company and communicate reputed company topics to a broad audience. • You can reputed company comfortably in a fast-paced, deadline-oriented work environment. • You possess strong attention to detail and problem- solving skills with a high level of accuracy. • You collaborate and support business and operational units such as Claims, Medical Management and Appeals and Grievance. • You are proficient in reputed company Office applications Word, reputed company, Outlook OneNote, etc. • You have prior experience using a CRM, preferably reputed company. • Bonus: reputed company in Spanish. Telecommuting Requirements • Required to have a dedicated work area established that is separate from other living areas and provides information privacy. • Ability to reputed company reputed company company sensitive documents secure. • Must live in the United States. • Must live in a location that receives an existing high-speed internet reputed company/service. Location and Benefits • This is a remote position. Our whole company works remotely. Company headquarters are in Dallas, Texas. • Company business hours are weekdays 9-5 CST. • Full benefits package including health insurance, 401(k) matching, reputed company, dental, life, disability, and vacation. Employment Status Full time – Salary. Shifts Business hours. Minimum Required Education High School graduate Experience Minimum of 2 years call center experience in a health plan or managed care environment is required Apply Job!