Health Plan Navigator I - Keaau

Employment Type

Full-time Exempt or Non-Exempt Non-exempt [Non-ex.]

Job Summary

Worksite Location (In-Office): Keaau, Hawaii
Pay Range: $42,000 - $60,500
Note: Individuals typically begin between the minimum to middle of the pay range

Duties And Responsibilities

• Assist customers in a timely and accurate manner in phone interactions.
• Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer performance requirements, while receiving and responding to inquiries.
• Cover research for routine inquiries.
• Apply basic analytical and problem-solving skills to resolve customer inquiries and issues.
• Research relevant information and make recommendations.
• Manage inventory of inquiries and coordinate with departments.
• Resolve servicing interactions by documenting and closing customer cases.
• Work with peers, management, and HMSA business areas to bring accurate and quality resolution for customers while continuing to follow performance guidelines.
• Participate in training to learn the foundation and basics of servicing HMSA's customers.
• Participate in training to be proficient in servicing at least two HMSA plans.
• Participate in servicing customers through options other than the phone. This could be written or online inquiries, in-person servicing or performing off-line data or project work.
• Performs all other miscellaneous responsibilities and duties as assigned or directed.