Customer Service Rep.

Summary of Position • Receive, answer and/or record telephone/correspondence/e-mail inquiries from subscribers, providers, and other consumers relating to areas of coverage, payment of claims, membership status, medical management intake calls, etc., under the various EmblemHealth medical/surgical, dental, hospital and Medicare plans. • Review inquiries, correspondence, and email receipts. Prepare email resolutions, letters (form or narrative letter) and/or claims payment process adjustments. • Perform written and verbal duties of the position to meet company goals for production and accuracy. • Perform related claims approving and clerical work as assigned. • Perform other duties as assigned or required. • Regular attendance is an essential function of the job. Principal Accountabilities • Must be able to work under pressure, handle stressful situations effectively and deal politely with subscribers and providers on the telephone, in person, and email/correspondence. • Ability to detect and relate problem service issues to management. • Ability to speak well on the telephone and maintain a positive telephone personality. • Must be able to compose clear concise letters. • If designated, sort and screen correspondence receipts and resolve via coding of additional payment, including salvage and/or completion by letter. • Typing and PC skills. • Ability to adapt to change and address multiple issues simultaneously. • Good organizational skills. • Must be available for training. Qualifications Education, Training, Licenses, Certifications • A minimum of two (2) years’ experience in customer service; one year must be in a call center setting. • A college degree is preferred. Relevant Work Experience, Knowledge, Skills, and Abilities • Health insurance experience is a plus. Additional Information • Requisition ID: 1000002630_56 • Hiring Range: $24.67 per hour