Customer Care Specialist I – Contractors
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Job Description
Customer Care Specialist providing assistance to members and providers with routine inquiries about health services for TrueCare. Focused on claims processing and member benefit education.
Responsibilities:
- Assist members/beneficiaries or providers with routine service inquiries
- Resolve member/beneficiaries or provider routine service inquiries; examples include claims processing, member benefit education, contracting and credentialing requests
- Ensure all HIPAA, State and/or Federal requirements/regulations are always adhered to
- Research, follow up, and resolve all open/pending issues in a timely manner to ensure member or provider satisfaction
- Build and strengthen member or provider relationships by providing quality customer service
- Maintain knowledge and understanding of all processes and procedures
- Adhere to all departmental and company policies and procedures
- Maintain complete and accurate documentation of all telephone and written communications
- Act as a mentor to new hire employees
- Perform any other job related instructions, as requested
Requirements:
- High School Diploma or equivalent is required
- Two (2) years customer service experience is preferred
- Customer Service experience in a call center is preferred
- Critical thinking and listening skills
- Decision making and problem-solving skills
- Computer proficiency with knowledge and experience in a Windows environment
- Typing speed of 35 words per minute (WPM)
- Strong written and communication skills
- Professional phone etiquette
- Proper use of grammar
- Ability to work in a fast-paced environment
- Adaptable to a constantly changing environment
- Attention to detail
- Ability to multitask
- Ability to work independently and with a team
Benefits:
- Comprehensive total rewards package
- Paid time off
- Health insurance
- Professional development opportunities
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