Archived listing. The details below describe a past opening.
SUMMARY:
Provide customer service to clients, claimants, and providers for the Benefits division via telephone or correspondence. In addition to answering phones, this position also includes other duties and responsibilities as outlined below.
DUTIES AND RESPONSIBILITIES:
• Provide customer service to claimants, providers, and clients with problems or questions regarding their claims and/or policies via telephone or correspondence.
• Maintain customer service logs to 1 page or less (or 3 day turn around time).
• Process any incoming client correspondence.
• Meet or exceed production goals for calls and correspondence. Daily goal of 80 combined calls and correspondence, with a minimum of 60 calls per day.
• Meet or exceed customer service quality standards.
• Complete special projects as assigned.
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily, while maintaining regular attendance that is acceptable to company standards. The requirements listed below are representative of the knowledge, skill, and/or ability required.
EDUCATION AND/OR EXPERIENCE:
High School Diploma or General Education Degree (GED), plus two years customer service experience preferably in a call center environment, with medical codes and/or terminology helpful.
OTHER SKILLS AND ABILITIES:
- Energetic person with excellent people & listening skills
• Candidate must possess 2+ yrs customer service/call center exp & med insurance knowledge helpful.
• Courteous demeanor, self-driven, extremely reliable, problem solver, able to work well under pressure in a fast-paced time sensitive environment w/shifting priorities & ongoing interruptions.
• Must have ability to interpret and apply provisions of the manuals, SPDs, medical terminology and insurance claims
• Courteous telephone communication skills.
• Excellent verbal and written communication skills.
• Good typing speed w/small error count.
• Knowledge of Microsoft Office products.
CONDITIONS:
• Business conditions may require occasional overtime.
• All overtime work must be pre-approved by the employee's immediate supervisor.
• Other functions may be assigned as business conditions change.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to perform keyboard work, verbal communications and close vision computer use. The employee may need to lift and/or move up to fifteen (15) pounds.
HIPAA SECURITY STATEMENT:
This position may require access to private health information (PHI) and/or electronic private health information (EPHI) for Loomis Company clients. The minimum necessary access will be granted based on the employee’s responsibilities. To perform their job requirements, certain employees may also be granted access to PHI and EPHI of Loomis Company employees.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.