Customer Service Representative I (Call Center)

Company: The Word and Brown Companies
Location: Orange
Posted on: September 12, 2020

Job Description:

Purpose of Position: Handles calls from customers to resolve, educate, follow-up and respond to questions regarding CaliforniaChoice plan administration and procedures.Essential Functions:* Answers questions by telephone from employers regarding new hires, billings, rates, supplies, administrative procedures, etc.* Educates, via telephone, employees/dependents regarding PCP's, ID cards, RX problems, administrative procedures, dependent coverage, address changes, etc.* Follows-up on calls from brokers regarding problems that their groups are experiencing with providers.* Responds to calls from providers.* Verifies enrollments and resolves claim issues.* Expedites processing of RX issues for employee members.* Document calls in call tracking system.* Departmental standard requires each Customer Service Representative to provide Service of Unequalled Excellence to all callers. Answer 65 calls per day. Provide clear and explicit documentation while maintaining percentage at a level of 90% or higher daily. Make busy time of 30 minutes or less per day.* On-site regular attendance and punctuality are essential functions of the job.* Performs other tasks or functions as assigned.Requirements Knowledge, Skills & Abilities:* Computer literate and word processing experience.* Typing speed of at least 50 wpm.* Ability to handle irate customers in a courteous, patient, calm and positive manner while maintaining a high quality and quantity of work.* Experience in handling high call volume. Excellent professional verbal and written communication skills.* Knowledge of and experience in the health care/insurance industry.* At least 2 years of customer service experience required.Education Requirements:High school diploma or equivalent.Physical Requirements:Must be able to sit 95% of the time, stand and walk 5% of the time. Close vision required. Must be able to hear phone conversations and verbally communicate to caller. Utilize fingers, hands & arms to feel and manipulate. Working environment is stable and noise level is moderate. Apply On-line Send This Job to a Friend

Keywords: The Word and Brown Companies, Orange , Customer Service Representative I (Call Center), Hospitality & Tourism , Orange, California