Contact Center - Customer Service Representative, Contact Center

Wellcove; Pensacola (FL); Hybrid; USD 32,000 - 46,000; Full time

Job summary

Wellcove is seeking a customer service professional for a call center role handling insurance inquiries from policyholders, providers, and agents. You will verify benefits, check claims status, and utilize company systems to research and respond to questions while maintaining privacy standards.

The role requires clear communication, accuracy, and the ability to work various shifts. Candidates should have a high school diploma or GED, with six months of related call center experience; an

Qualifications

• High school diploma or GED required.
• Six months call center experience and/or training.
• Ability to pass background screening and drug test pre/post hire.

Responsibilities

• Respond to telephone inquiries from providers, policyholders, and others with information about insurance policies.
• Provide information on benefits verification and claims status by using company software.
• Research records to resolve inquiries and perform routine transactions.
• Maintain knowledge of company products and services and privacy requirements.
• Communicate status and resolution in writing and verbally to customers and stakeholders.
• Complete call tracks and related clerical tasks; adapt to various shifts.
• Type with speed of ~30 wpm and high accuracy.

Skills

Customer service

Typing 30 wpm

Privacy/HIPAA

Communication

Education

High school diploma or GED

Associate's degree preferred

Tools

Windows-based environment

MS Office

Job description

Job Summary

This job provides customer service in a call center environment by primarily receiving and responding to telephone inquiries from policyholders, beneficiaries, providers, agents, or others for information concerning insurance policies by performing the following duties.

Duties/Responsibilities:

• Provides information and assistance to providers, agents, policyholders, and others by responding to telephone inquiries from CHCS third third-party administrator clients to include Medicare Supplement and Life Policies.
• Accurately provide information regarding various insurance questions (i.e., verification of benefits, claims status) by accessing and updating software system data within company response standards.
• Provides service and follow-up on insurance questions by researching company records to obtain information requested by customer, performing routine transactions, and retrieving results from an online terminal.
• Maintains working knowledge base of all company products and services.
• Complying with company regulations regarding Privacy, confidentiality, and private health information.
• Providing written and oral communication to policyholders, agents, providers, and others regarding inquiry status and resolution.
• Initiate and complete Call Tracks, checklists, and supportive clerical responsibilities as necessary.
• Ability and Flexibility to work various shifts as required.
• Able to type speed of 30 wpm with 95% accuracy rate.

Standard Company Requirements:

• Collaborative team spirit.
• Accountable and able to work remotely and independently.
• Able to pass background screening and drug tests pre and post hire – includes THC
• Verification of high school, GED, or college diploma upon request.
• Timely responses from three professional references.
• Able to provide a dedicated remote work location free from background noises, interruptions, and desk clutter.
• Able to provide an ongoing reliable internet connection and access to a smart phone for Multi Factor Authentication and communication purposes.

Education and Experience:

High school diploma or general education degree (GED); and six months related call center experience and/or training.

Preferred Experience

• Associate's degree
• Experience with Long Term Care Insurance preferable in a Call Center setting
• 2 years related call center and customer service experience

Physical Requirements:

• 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the associate is frequently required to sit; use hands, fingers, handle, or feel; and talk or hear. The employee is occasionally required to reach with hands and arms. The associate must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, and ability to adjust focus. The associate must be able to present and speak simultaneously in meetings.
• Prolonged periods sitting at a desk and working on a computer and phone line usage.
• Ability to read, hear, speak, use keyboard, reason and problem solve.
• Requires the use of office equipment such as computer terminals, telephones, or copiers.
• Close visual acuity to perform activities such as: preparing and analyzing data, transcribing, viewing a computer terminal, extensive reading.

Required Skills/Abilities:

To perform this job successfully, an individual must be able to perform each essential duties satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Accurately entering data via Windows-based environment
• Intermediate computer skills
• Knowledge use of basic math and English spelling and grammar skills
• Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
• Customer Service, Integrity/Honesty, Oral Communications, Motivation, Organizational/Planning/Organizing
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratio, and percent and to draw and interpret bar graphs.
• Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.