Customer Service

Skill Required / Desired Amount of Experience

MS Word & Excel Skills Required

HS Diploma / GED Required

Experience taking in-bound and/or out-bound customer calls. Required 1 Years

Prior claims and/or customer service experience Required 1 Years

Prior experience in the healthcare or managed care industry preferredy Desired

Minimum 45 wpm typing skill preferred Desired

Ability to use PC applications in a MS Windows based Required

Customer Service Representatives work under direct supervision in a call center environment, and are responsible for responding in a timely, professional and courteous manner to all customer inquiries. This includes member and/or provider phone calls or correspondence regarding benefit, eligibility or customer issues. Follows internal processes and procedures to ensure all activities are performed in accordance with departmental and company policies and procedures.

The ideal candidate will have the following:

•High School diploma or GED required.

•Minimum one (1) year of experience taking in-bound and/or out-bound customer calls.

•1 year prior claims and or customer service experience preferred

•Prior experience in the healthcare or managed care industry preferred.

•Minimum 45 wpm typing skill preferred.

•Excellent judgment and decision-making skills in dealing with complaints and sensitive requests required.

•Ability to use PC applications in a MS Windows based.