Insurance Benefits CSR: Customer Advocate & Data Resolver

Western Growers; Irvine (CA); On-site; USD 22,000 - 33,000; Full time

Job summary

Western Growers in Irvine seeks a Customer Service Advocate to respond to inquiries about insurance benefits, provider contracts, and claims. You will analyze problems, resolve aged calls, and operate HCPS and imaging systems to extract information with proficiency.

You will maintain positive relations across departments, report trends, and drive improvements while meeting quality guidelines and service metrics in a confidential environment.

Qualifications

• High School diploma or GED and/or one (1) to three (3) years of experience in customer service within a call center environment, preferred.
• Knowledge of Health Benefits and eligibility preferred.
• Good communication and telephone skills with a very clear and concise speaking voice.
• Proficient written communication skills with the ability to learn new software and navigate multiple systems at once.
• Moderate keyboarding skills including proficiency with database management.
• Proficient organizational and time management skills.
• Adaptive in constantly changing environment.
• Skilled in researching and resolving standard technical issues or client problems as they arise.
• Good judgement, negotiation abilities and capacity to work with minimal supervision.

Responsibilities

• Respond to general customer questions via telephone, e-mail, and written correspondence regarding insurance benefits, provider contracts, reimbursement programs, eligibility, and claims in a confidential, professional, and ethical manner.
• Analyze problems and provide information/solutions.
• Research and resolve aged Customer Service open calls within company standards.
• Operate in the Health Care Processing System (HCPS), Imaging systems, and all systems necessary to obtain and extract information with proficiency and skills.
• Develop and maintain positive customer relations and coordinate with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
• Be accountable when you uncover an issue or trend by helping to assess and report its impact, making improvements, and course-correcting along the way.
• Follow quality guidelines to provide exceptional customer support and ensure scores meet or exceed expectations.

Skills

Customer service

Call center

Communication

HIPAA compliance

Education

High School diploma or GED

Job description

Western Growers in Irvine seeks a Customer Service Advocate to respond to inquiries about insurance benefits, provider contracts, and claims. You will analyze problems, resolve aged calls, and operate HCPS and imaging systems to extract information with proficiency.

You will maintain positive relations across departments, report trends, and drive improvements while meeting quality guidelines and service metrics in a confidential environment.