
Mega Walk-In For International Voice Process-
2 weeks ago
As a customer service advocate, you will be assisting members with various questions on their health plan and ensuring all questions are answered accurately using tools provided. Questions will cover things such as plan benefits, claims inquiries, finding a provider, billing and payment inquiries. Roles and Responsibilities
- Agents will answer inbound calls for members and assist them with a variety of inquiries using tools provided and demonstrating a willingness to help, empathy when needed, and ensure issue resolution.
- Answer calls in a timely manner with friendly demeanor and willingness to assist
- Assist members with inquiries finding resolutions via the knowledge management system. Topics include but are not limited to billing and payment histories, explanation of benefits, provider search and confirmation of medical coverage.
- Thorough documentation of the call inquiry and resolution discussed as well as any next steps in the CRM tool
- Make necessary outbound follow ups when needed to support final resolution and satisfaction
- Follow all compliance guidelines for verification (HIPAA)
- Maintain professional demeanor, ensuring all questions answered and thorough understanding of the situation to address possible questions/scenarios
- Responsible for ensuring that primary metrices are met
Education & Experience
- 0 to 2 years work experience of customer service experience preferred
- Background in contact center is a plus
- Must have completed high school
- Minimum age requirement: 18 years
- Must be proficient in reading, speaking, and understanding English to effectively communicate with customers and follow instructions
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Hiring process -
HR round
Versant Voice
Operations round
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