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Member Services Representative

Ajilon Sacramento ,CA
  • Expired: over a month ago. Applications are no longer accepted.
Job Description

Member Service Representative


We are actively seeking to fill a long term Member Service Representative position in Sacramento, CA. This is a contract to hire opportunity with a very well-established healthcare organization. The ideal candidate will possess excellent customer service and strong attention to detail.

Responsibilities:

  • Respond to all member inquiries related to Commercial, Exchange, and/or Individual plans via telephone, email, chat, or fax.
  • Assist members, providers, brokers, and plan partners with claims-related billing questions and issues as needed.
  • Work with inter and intra-department staff to help resolve member issues to ensure resolution within prescribed timeframes.
  • Accurately record and refer appeals and grievances according to department protocols and procedures.
  • Meet department standards related to performance and attendance.
  • Manage difficult or emotional customer situations, responds promptly to customer needs, solicit customer feedback to improve service, respond to requests for service and assistance, and meet commitments.
  • Use tact, discretion, and courtesy while interacting with clients, the public, and other encounters in the course of work.
  • Skills and Abilities

  • A minimum of 1 year of experience working in a call center.
  • Previous experience working in the health care industry, specifically HMO, is a plus.
  • Basic computer skills, including electronic mail, routine databases, word processing, spreadsheet, graphics, etc.
  • Must be able to speak, read, write, and understand the primary language(s) used in the workplace
  • If you are interested in this Member Service Representative please apply now for immediate consideration or email your resume directly to me at andrew.walsh@acco The Company will consider for employment qualified applicants with arrest and conviction records.

Ajilon

Address

Sacramento, CA
USA