Customer Service Representative, fully remote, Starts: September 19th

Customer Service Representative, fully remote

Start Date: Monday, September 19th, 2022

Who We Are

WPS Health Solutions is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small to large businesses. We process claims and provide customer service support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. In 2021, WPS Health Solutions celebrates 75 years of making health insurance easier for those we serve. Proud to be military and veteran ready.

Our Culture

WPS' Performance-Based Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive, empowering employee experience, focusing on People, Work, and Conditions. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are guided by our Purpose: Together, making health care easier for the people we serve.

In 2021, WPS Health Solutions was recognized for several awards including:

• Madison, Wisconsin's Top Workplaces
• Top Workplace national cultural excellence awards for Remote Work and Work-Life Flexibility
• Achievers 50 Most Engaged Workplaces® with the further honor of Achievers "Elite 8" winner in the category of Culture Alignment

Role Snapshot

Answer inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems.

Receive telephone, written, fax, and e-mail inquiries concerning TRICARE eligibility, benefits determinations, and claims adjudication questions or billing problems.

• Submit claims for adjudication, correction, payment, or review as appropriate
• Research and provide final resolution to inquiries within contractual requirements.
• Respond to inquirer using various forms of communication (written letter, telephone, web, or email) within time frames to exceed contractual standards

How do I know this opportunity is right for me? If you:

• Enjoy conversing with customers over the phone
• Have the ability to learn medical and insurance terminology
• Thrive in a fast paced work environment

What will I gain from this role?

• Gaining experience working in a call center environment

• Working in an environment that serves our Nation's military, veterans, Guard and Reserves along with their families.

Minimum Qualifications

• U.S. citizenship is required for this position due to Department of Defense restrictions.
• High School Diploma or Equivalent

Preferred Qualifications

• 2 or more years of customer service experience
• Ability to learn medical and insurance terminology
• Microsoft Office Experience
• Ability to navigate dual monitor screens
• Recent Military and Veterans Health claims processing with knowledge of TRICARE benefits and guidelines, system applications, medical terminology, and procedure codes
• Currently, WPS strongly encourages employees to be fully vaccinated for COVID-19. However, if the court reinstates the vaccination requirement for federal government contractors, as a condition of continued employment with WPS, you would either need to be fully vaccinated or have an approved accommodation

Additional Information:

• Start Dates: Monday, September 19th, 2022
• Starting Salary: 18$ an hour
• Training Schedule: First 5 weeks Monday-Friday 8:00am-4:35pm CST
• Scheduled Shift: Shift Starting between 8:30am-9:30am CST Monday-Friday
• Work from Home: This is a 100% remote opportunity for all approved remote worker states. This is a non-exempt, non-bargaining unit position

Approved States:Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin

Next steps

After submitting your application, we will send you an online assessment. We recommend you try and complete it within two business days. You must complete and obtain a passing score on the assessment to be considered for the position.

Benefits

• Remote and hybrid work options available
• Performance bonus and/or merit increase opportunities
• 401(k) with dollar-per-dollar match up to 6% of salary (100% vested immediately)
• Competitive paid time off
• Health, dental insurance, Teladoc starts DAY 1
• Review additional benefits here

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)