Customer Care Representative

Principal Duties And Responsibilities

• Answer telephone inquiries from insured members, employers, providers, etc. regarding claim status and plan benefits.
• Aid walk-in customers with plan/claim questions.
• Respond to email inquiries from members, employers, and providers.
• Maintain knowledge of all Summary Plan Benefit manuals of plans administered by Consociate.
• Perform other duties as assigned.

General Expectations

• Present a positive image of Consociate at all times.
• Provide and promote the delivery of services with a prevailing attitude of respect and recognition of the personal worth and dignity of every individual.
• Communicate in a clear and concise manner, while also demonstrating receptivity through active listening.
• Identify and perform work that has not been specifically assigned, as needed.
• Adhere to established safety standards and utilize proper techniques to avoid work-related injuries.
• Continuously seek opportunities for improvement and suggest ways in which procedures/systems may be modified to accomplish tasks/goals efficiently and effectively.
• Demonstrate a teamwork philosophy by working cooperatively with others inside and outside the Client Services Division.
• Attend required in-service and staff meetings.
• Preserve the confidentiality of all business-sensitive information, including but not limited to that of insured groups and individuals, employees and applicants.

Requirements

• High School Education required.
• Minimum of one to three years of experience working with the public.
• Previous insurance billing or customer service background recommended.