Customer Service Representative

Job description

Service Center Representative (Customer Service)

Confidential Company, a rapidly expanding Consulting and Full-Service Claims and Medical Case Management Company, has an immediate opening for a self-motivated, detail oriented professional to provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to resolve issues with one call/one person response; and to direct calls to appropriate escalation path as needed.

This is locally in the Dublin, Ohio office.

Responsibilities:

• Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes.

• Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status.

• Educates claimants/callers on client requirements and benefit plans documenting all required details of the call in a concise professional manner.

• Enters verbal and written application information that meets both the internal and external customer’s requirements accurately into the claims management system.

• Assigns new claims to the appropriate claims handler. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed.

• Attendance during scheduled work hours is required.
• Performs other duties as assigned

Qualifications:

• High School diploma or GED
• One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred.
• Knowledge of medical terminology

• Understanding of claims management

• Excellent oral and written communication skills

• PC literate, including Microsoft Office products

• Strong organizational skills

• Good interpersonal skills

• Ability to multi task in fast paced environment

• Ability to support multiple clients across communication channels and utilize multiple systems simultaneously

• Ability to work in a team environment and/or independently

• Ability to meet or exceed Performance Competencies

Important Information:

Successful candidates will be required to undergo a credit and criminal background check, and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of employee upon hire.

Equal Opportunity and Affirmative Action Employer

All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, 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.

Job Type: Full-time

Pay: $32,000.00 - $36,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• Customer service: 1 year (Preferred)

Work Location: One location