Customer Care Executive jobs in United States

We are currently seeking experienced Manager to join our client services team. In this position, you will be part of a team responsible for incoming customers/patients queries and delivering superior customer experience through providing assistance / guidance in in a timely manner. Your responsibilities shall include and not limited to the following

The Role:

• To act as an Account Manager and be responsible for designated corporate clients
• To maintain relationships, assist in providing customer service to such clients and ensure customer retention
• To assist in the administration of claims by members / clients
• To compile, analyse and submit periodical utilisation reports and generate renewal proposals to corporate clients
• To assist in the implementation of our corporate clients’ managed care programme or third-party administration
• First point of contact and support to customers
• Provide quality customer service to customers over the phone or email
• Resolve customer’s enquiries efficiently and escalate problems/issues promptly
• Ensure referrals and specialist appointments are made promptly with specialist clinics and follow up with customers
• Verifies the referral and authorization requirements of the patients' insurance plans andcompletes referrals and prior authorizations in a timely manner according to department guidelines and workflows
• Update CRM logs promptly
• Preparation and Generation of Reports as required
• Any other tasks as assigned

Requirements and Competencies:

Interested candidates, please email us your full resume, stating current and expected salaries

• At least 5 years of working experience in relevant industry and role
• Candidates with prior experience with healthcare insurance provider will be an added advantage
• Proficient in Microsoft Office Applications
• Possess good interpersonal and communication skills
• Ability to work under pressure
• Passion for customer service and a good team player
• Build high performance teams that can integrate with each other
• Create a team environment that cultivates service excellence
• Establish methods for measuring TPA effectiveness and efficiency
• Drive change initiatives that improve business processes

Please be informed that only shortlisted candidates will be notified.