Customer Service Representative

*Job Summary: *This position serves clients and plan participants within the health insurance industry.
This position will identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, and written communication.
*Job Duties:* *Essential Duties and Responsibilities:* 1.
Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone and written communication.
2.
Answer a diverse and high volume of health insurance related customer calls and correspondence on a daily basis.
3.
Explain to customers a variety of information concerning the organization’s services, including but not limited to, benefits, changes in coverage, eligibility, claims, provider networks, etc.
4.
Consult and coordinate with various internal departments, plans, and providers to obtain information and ensure resolution of customer inquiries.
5.
Document and record facts in regard to inquiries and correspondence by updating WLT memos and call tracking system.
6.
Other duties include auditing HRA/FSA transactions, issuing notices to plan participants regardingHRA/FSA plans, and assisting the claims department.
7.
Demonstrate and maintain current working knowledge of the required WLT system.
8.
This position requires a full-time work schedule.
Full-time is defined as working at least 30 hours or more per week (not to exceed 40).
8.
Perform all other duties as assigned.
*Required Work Experience:* * Minimum 2 years’ experience in health insurance, call center, medical office, or other healthcare related field.
* High School Diploma or GED in general field of study * Intermediate to Advanced skill in use of office equipment, including copiers, fax machines, scanner and telephones.
* Proficiency in MS Office (Word, Excel, Outlook) * Type 50-65 words per minute with 5% error rate or less * Maintain confidentiality and privacy in accordance with HIPAA * Practice interpersonal and active listening skills to achieve high customer satisfaction.
* Compose a variety of business correspondence.
* Capable of investigative and analytical research.
* Navigate, gather, input and maintain data records in system applications.
* Follow and accept instruction and direction * Establish and maintain working relationships in a collaborative team environment.
*Job Specifications*Knowledge, skills and abilities required for competent performance in the job: * Computer literate.
Strong skills in MS Word and Excel, which includes the ability to learn new and complex computer system applications, if necessary; * Excellent reading comprehension and organizational skills * Excellent analytical, problem solving and decision-making skills and ability to deal professionally with people in stressful situations.
* Ability to maintain confidentiality.
* Team player and self-motivated.
* 10-key by touch.
* Applicable knowledge of Affordable Care Act.
*DISCLAIMER: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
* *Work Environment* * Performs duties in an office environment consisting of computer equipment, phones, consistent temperature and background noise.
* Occasional fluctuations in pace and priority will occur.
* Occasionally required to lift, push, pull, twist or otherwise handle items of 10- 25 pounds.
* Computer and peripherals, standard and customized software, and usual office machines.
*Additional Job Information:* *Employment Type: *Full-Time; Regular*Department: *Customer Service*Schedule:* Full-Time (40 hours/week)*Location: *Maitland, FL*Shift: *Monday through Friday; 8:00am – 5:00pm*Travel: *None*Telecommuter: *No*Overtime Status:* Exempt*Start Date: *Immediate*Relocation Provided: *No*Hourly Range: *$17 - $20 Job Type: Full-time Pay: $17.
00 - $20.
00 per hour Benefits: * Dental insurance * Health insurance * Paid time off * Vision insurance Shift: * 8 hour shift * Day shift Weekly day range: * Monday to Friday Work setting: * In-person Experience: * Health Insurance and / or Call Center: 3 years (Required) Work Location: In person Job Type: Full-time Pay: $17.
00 - $20.
00 per hour Expected hours: 40 per week Benefits: * Dental insurance * Health insurance * Paid time off * Vision insurance * Work from home Experience level: * 2 years Shift: * Morning shift Weekly day range: * Monday to Friday Work setting: * Call center * In-person * Office Ability to Commute: * Maitland, FL 32751 (Preferred) Ability to Relocate: * Maitland, FL 32751: Relocate before starting work (Preferred) Work Location: In person