Member Service Representative

New
J
JobgetherHealthcare Customer Support
Based in United StatesFull-TimeEntry
Salary not disclosed
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Job Details

Experience
At least 2 years of customer service experience in a call center environment.
Required Skills
Microsoft OfficeProblem SolvingCustomer serviceActive listening

Requirements

  • High school diploma or GED required.
  • At least 2 years of customer service experience in a call center environment.
  • Excellent verbal and written communication skills, including strong telephone etiquette and active listening.
  • Strong interpersonal and customer service skills, with the ability to communicate clearly, concisely, and compassionately.
  • Strong attention to detail, organization, multitasking, and record-management abilities.
  • Critical-thinking and problem-solving skills, with the ability to follow established methods while identifying appropriate solutions.
  • Working knowledge of administrative and clerical processes, including word processing and managing files and records.
  • Familiarity with Microsoft Office applications and the ability to learn and navigate multiple software systems simultaneously.
  • Ability to work effectively in a remote environment with strong self-motivation, reliability, focus, and time-management skills.
  • Ability to sit and handle telephone calls for extended periods.
  • Ability to lift approximately 10–25 pounds and accommodate occasional travel of up to 25%.

Responsibilities

  • Handle inbound member calls and provide accurate, courteous assistance across a broad range of healthcare and membership-related questions.
  • Verify member information and ensure that information provided or collected is accurate and complete.
  • Research, troubleshoot, and resolve member inquiries and issues while creating a seamless service experience.
  • Make outbound calls when necessary to provide updates, resolve outstanding issues, or gather additional information.
  • Maintain consistent communication with members and internal and external stakeholders throughout the resolution process.
  • Escalate complex or unresolved issues to the appropriate level of supervision when required.
  • Maintain accurate member documentation, records, work queues, and timekeeping information.
  • Meet established productivity, quality, service, and queue-management standards.
  • Participate in required training and demonstrate proficiency with applicable systems, processes, and procedures.
  • Navigate multiple systems simultaneously while maintaining accuracy and a high level of customer service.
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