We are currently looking for a dedicated, energetic Customer Service Representative with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day. The Customer Service Representative Provides exemplary services, by phone or in person to the customers of the Trusts our company administers. This position Interacts with customers and other departments to investigate, resolve, and provide information in response to inquiries about claims, benefits, eligibility, and complaints.
Location: On-Site
580 California Street, 21st Floor San Francisco, California 94104
Compensation:
$25.00 per hour
"Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and a 401k plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria."
Responsibilities include:
Resolve customer inquiries and complaints via written, telephonic, or face-to-face communication in a timely and accurate manner. Escalate issues as appropriate.
Perform administrative and clerical tasks.
Consistently meet established performance standards, including quantity and quality call standards.
Maintain current knowledge of assigned Plan(s) and effectively apply knowledge in all job functions.
Consistently demonstrate excellent attendance and punctuality.
Perform other related duties and special projects as assigned.
Identify potential problems/patterns/solutions and escalate for management review.
Ability to learn Trust processing guidelines, benefit structure, system procedures, and miscellaneous guidelines.
Must meet the department's quality and production standards for this job, as provided on the work standards grid.
JOB REQUIREMENTS:
Minimum Education High School Diploma or GED
Minimum 1-year experience in Call Center Customer Service or related work experience
Claims processing knowledge helpful.
Healthcare background preferred.
Possess a strong work ethic and team player mentality.
Highly developed sense of integrity and commitment to customer satisfaction.
Ability to communicate clearly and professionally, both verbally and in writing.
Solid organization skills with strong detail orientation and listening skills.
Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans, and regulations.
Proficient PC skills, including MS Word and Excel.
Able to maintain excellent attendance and punctuality.