Health Plan Member Support Specialist I

Lifetime Benefit Solutions, Inc.; Town of De Witt (NY); Vor Ort; USD 28.000 - 34.000; Vollzeit

Zusammenfassung

The Lifetime Benefit Solutions, Inc. is seeking a Customer Service Representative to handle inquiries via telephone, fax, email, and off-phone channels about benefits, claims, and enrollment in line with ORA and HIPAA regulations.

This role requires training immediately upon hire to become proficient in one line of business and cross-training within 12 months to support multiple lines of business. Level II responsibilities include mentoring and coaching others and assisting with onboarding for

Qualifikationen

• High School diploma or equivalent; customer service experience preferred.
• Strong communication across channels (phone, email, etc.).
• Excellent organizational and multitasking abilities.
• Ability to actively listen and resolve customer concerns.
• Proficient in Windows environment and multiple programs.
• Strong problem solving and decision making.
• Willingness to work overtime as needed.

Aufgaben

• Responds to inquiries from customers, partners, and groups about products, services, and policies with HIPAA/ORA compliance.
• Researches and resolves questions on claims, onboarding, and provider inquiries; supports customer experience.
• Delivers professional, timely service to enhance satisfaction and retention.
• Uses resources to achieve first call resolution and quality targets.
• Develops internal relationships and shares process improvements.
• Participates in training and skill development for career growth.
• Maintains privacy of member information according to policies.

Kenntnisse

Customer service

Communication skills

Organizational skills

Problem solving

Computer skills

Typing / documentation

Overtime readiness

Ausbildung

High school diploma or equivalent

Tools

Windows OS

Jobbeschreibung

The Lifetime Benefit Solutions, Inc. is seeking a Customer Service Representative to handle inquiries via telephone, fax, email, and off-phone channels about benefits, claims, and enrollment in line with ORA and HIPAA regulations.

This role requires training immediately upon hire to become proficient in one line of business and cross-training within 12 months to support multiple lines of business. Level II responsibilities include mentoring and coaching others and assisting with onboarding for