Medical Customer Service (Insurance)

Davita Inc.; Boise (ID); Remote; Full time

Job summary

Une entreprise leader dans les services de santé recherche un 'Customer Service Professional I' pour offrir un service exceptionnel à ses membres. Le candidat retenu agira en tant que principal contact pour les membres et fournira des informations sur les avantages et les réclamations. Ce poste exige une forte capacité à gérer plusieurs tâches tout en maintenant un haut niveau de satisfaction client. Les qualifications incluent un diplôme d'études secondaires et une expérience en service à la clientèle.

Benefits

Assurance maladie, dentaire et visuelle

Plan de retraite 401(k)

Assurance vie

Compte d'épargne santé (HSA)

Avantages de transport

Programme d'assistance aux employés

Qualifications

• Minimum d'un an d'expérience en service client dans un environnement de centre d'appels.
• Compétences PC avec expérience dans un environnement Windows.
• Connaissance des termes médicaux et du traitement des réclamations est un avantage.

Responsibilities

• Agir comme contact principal pour les membres et fournisseurs.
• Fournir des informations précises concernant les avantages et les réclamations.
• Maintenir la confidentialité lors de la gestion d'informations sensibles.

Skills

Communication

Multitâche

Compétences en mathématiques

Education

High school diploma or equivalent

Tools

Salesforce

Job description

*Professional Summary:* The Customer Service Professional I serves as the key liaison between the corporation and its members, providers, and other stakeholders. This role involves delivering exceptional and caring service through recorded phone lines by providing accurate information, education, and assistance regarding benefits, claims, and eligibility. This position plays a critical role in retaining customers and contributing to the corporation's overall success by ensuring positive interactions and maintaining high customer satisfaction standards.
*Key Responsibilities:*

* Act as the primary contact for members, providers, agents/brokers, attorneys, and other customer representatives to address inquiries effectively.
* Provide accurate and timely information regarding benefits, claims, and eligibility via recorded phone calls.
* Demonstrate a caring and empathetic approach in all interactions to foster positive relationships with customers.
* Efficiently multitask using web-based tools in a Windows environment, managing information across multiple screens while speaking with members.
* Maintain strict confidentiality and professionalism when handling sensitive information related to claims and benefits.
* Comply with all corporate policies during Cambia work hours, ensuring complete dedication to assigned tasks.
* Operate corporation-provided computer equipment connected to approved "hard-wired" Internet Service Providers, avoiding the use of satellite or mobile WiFi connections.
* Collaborate with internal teams as needed to resolve complex inquiries and ensure seamless service delivery.
* Uphold corporate values and customer-first principles in every interaction, ensuring member and provider satisfaction.
*Qualifications:*

* High school diploma or equivalent.
* Minimum of one year of customer service experience in a call center environment or a field requiring extensive customer interaction, such as insurance, banking, or medical office settings.
* Proficient PC skills with prior experience in a Windows environment; ability to type at least 30 words per minute with 95% accuracy.
* Previous experience using Salesforce and/or Radar preferred but not required.
* Demonstrated knowledge of medical terminology and claims processing is an advantage.
* Strong mathematical skills with the ability to apply calculations effectively.
* Excellent communication skills, both oral and written, with proficiency in punctuation, spelling, grammar, and proofreading.
* Commitment to task-focused work during assigned shifts without engagement in outside employment or caregiving activities.
* Ability to adapt to technology requirements, including the use of corporation-provided equipment and approved Internet connections.
*Pay and Benefits*
The pay range for this position is $17.00 - $19.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*
This is a fully remote position.
*Application Deadline*
This position is anticipated to close on Jun 23, 2025.
About TEKsystems and TEKsystems Global Services

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.


The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.