Healthcare CSR (with 21k Signing Bonus)

As our customers share concerns and provide us with valuable feedback, your ability to recognize and complete the steps necessary to meet their needs will leave a permanent, lasting impression of the passion you have for helping them be at their best.

We make sure our customers are not alone when it comes to understanding their benefits and they will rely on you to advocate for them as you would your own family member.

In addition to the keys to success identified above that you will bring with you to the team, you will need to demonstrate the following abilities:

• Update account information such as billing options and changes of address or phone numbers. Research premium billing discrepancies and prescription claims processed.
• Educate beneficiaries on how the plan works, including benefits, cost sharing, and levels of coverage.
• Submit mail requests for beneficiaries such as ID cards and formularies.
• Look up medicines on the formulary to verify if they are covered, the tier and copay level, and if a drug is not covered, provide an explanation as to why.
• Displays positive demeanor, technical accuracy, and conformity to company policies.
• Responsible for concise and detailed notations as it pertains to member records.
• Handles outbound calls for purposes of validating information.
• Handles inbound calls by assisting members with a high level of accuracy and efficiency.
• Escalates any member issues to management as necessary.
• Responsible for maintaining a high level of call quality as set by client standards, which includes a 95% quality score, and answering 80-85% of calls within 30sec or less
• Conform with and abide by all regulations, policies, work procedures and instructions.
• Respond promptly when returning telephone calls and replying to correspondence and faxes.

QUALIFICATIONS:

• At least 2nd year college level with minimum of 1 year BPO experience
• HS Graduate (K2 12 or old curriculum) but with minimum of 4 years global BPO experience (seasoned agent)
• Ability to multi-task effectively with strong attention to detail when documenting customers reasons for calling
• Excellent written communication skills
• Excellent problem-solving abilities - Must love customer service with excellent listening skills, demonstrate empathy and the ability to educate customers
• Ability to de-escalate matters in a calm and professional manner
• comfortable with technology and navigating numerous systems simultaneously
• Unwavering dedication to serving a customer that has complex needs
• Requires strong technical skills with Microsoft Office (Excel, word, and Outlook)
• Must have an energetic phone presence - professional etiquette over the phone, through written and face to face communication
• Self-motivated, confident, reliable and commitment to customer satisfaction
• Adherence to following internal policy
• Ability to interact professionally and maintain effective working relationships with superiors, coworkers, customers, and others
• Ability to break down complicated information into simple messages for the caller

*Must be willing to work onsite in Eastwood QC and on a night shift schedule.