Customer Service Specialist - LifeMap
TheLifeMap Customer Service Specialistwill provide information, education and assistance to members, providers, other insurance companies, attorneys, agents/brokers or other member representatives on recorded phone lines regarding benefits, claims and eligibility. They are likely to be the primary contact between the corporation and members and providers. The manner in which a member or provider is treated during that contact is critical to retaining our customers and to the overall success of the corporation.
Responsibilities & Requirements
+ 30 wpm keyboarding skills with 95% accuracy.
+ Proficient PC skills and prior experience in a PC environment.
+ Knowledge of medical terminology and coding preferred.
+ Ability to apply mathematical concepts and calculations.
+ Strong oral, written and interpersonal skills and strong customer-service skills, including courteous telephone etiquette.
+ Ability to interpret policies and procedures and communicate effectively.
+ Ability to make decisions and exercise good judgment in a complex and rapidly changing environment.
+ Ability to adapt to a fast-paced environment and learn and retain new or evolving information and procedures.
+ Ability to work under stress and pressure and respond to inquiries with tact, diplomacy and patience.
+ Ability to work in a team environment.
+ Ability to exercise discretion on sensitive and confidential matters.
+ Demonstrate initiative in researching and resolving benefit, eligibility and claims issues.
+ Understand and apply correct punctuation, spelling, grammar and proof-reading skills.
Additional Minimum Requirements for the II:
+ Demonstrated initiative in researching and resolving benefit, eligibility or claims issues.
+ Ability to provide back-up assistance to other team members and support other departments during time of peak work volume.
+ Demonstrated knowledge with more specialized, detailed customer service issue resolutions.
Normally to be proficient in the competencies listed above:
+ TheLifeMap Customer Service Specialist Iwould have a high school degree or GED and one year of customer service or call center experience in areas such as insurance, retail, banking, food service, hospital medical office or other experience with extensive customer service contact
+ TheLifeMap Customer Service Specialist IIwould have a minimum of 12 months experience and ability to perform all essential job duties and responsibilities for a Customer Service I at a performing level for three consecutive months or equivalent combination of education and experience.
LifeMap employees are part of the larger Cambia Health Solution's family of companies, which seeks to drive innovative health solutions. We offer a competitive salary and a generous benefits package. We are an equal opportunity employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check is required.
LifeMap is a life and disability insurance company, which offers additional benefits such as dental, vision, and short term medical coverage, to provide financial protection and access to care. People do business with us because of our high value products, our easy-to-understand language and our personalized service. We provide thoughtful guidance to help people choose the coverage they truly need through life's transitions.Cambia Health Solutions is a nonprofit total health solutions company with community roots dating back to 1917. We advocate for transforming the health care system by making health care more affordable and accessible, increasing consumers' engagement in their health care decisions, and offering a diverse range of products and services that promote the health and wellbeing of our members. Cambia's portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access and free-standing health and wellness solutions.
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Category (Portal Searching)Customer Support