Company Statement
ConnectiCare is a leading health plan in the state of Connecticut. ConnectiCare’s mission is to make it easy for members to get the care they need. A local company for over 35 years, ConnectiCare has a full range of products and services for businesses, municipalities, individuals and those who are Medicare-eligible. A subsidiary of EmblemHealth, ConnectiCare leads the individual and small group markets in the state, and is ranked among the top commercial health plans in the nation, according to the National Committee for Quality Assurance.
We’re looking for individuals who want to make a difference in the communities we serve. If you want to join a local team and help change the way health care is delivered, ConnectiCare is the place for you.
Customer Service Representative
Date: July 29, 2019
Position: Customer Service Representative (Service), Albany (15)
Labor Grade: 7
Hours: 35 hours per week (full-time)
Monday-Friday, 10:00a.m.- 6:00p.m.
(Must be available for full time training for full duration of training from 9:00a.m.-5:00p.m.)
Location: Albany (80 Wolf Road)
Description of Duties:
- Receive, answer and/or record telephone/correspondence/e-mail inquiries from subscribers, providers, and other consumers relating to areas of coverage, payment of claims, membership status, medical management intake calls, etc., under the various EmblemHealth medical/surgical, dental, hospital and Medicare plans.
- Review inquiries, correspondence and email receipts. Prepare email resolutions, letters (form or narrative letter) and/or claims payment process adjustments.
- Perform written and verbal duties of the position to meet company goals for production and accuracy.
- Perform related claims approving and clerical work as assigned.
- Perform other duties as assigned or required.
Qualifications:
- Must be able to work under pressure, handle stressful situations effectively and deal politely with subscribers and providers on the telephone, in person, and email/correspondence
- Ability to detect and relate problem service issues to management
- Ability to speak well on the telephone and maintain a positive telephone personality.
- Must be able to compose clear concise letters
- If designated, sort and screen correspondence receipts and resolve via coding of additional payment, possibly including salvage and/or completion by letter
- Typing and PC skills
- Ability to adapt to change and address multiple issues simultaneously
- Good organizational skills
- Must be available for training
- Regular attendance is an essential function of the job
Education and Experience:
- A minimum of two (2) years’ experience in customer service; one year must be in a call center setting. A college degree is preferred. Health insurance experience is a plus.
- Test Subjects:
- Online: Reading Comprehension
- Online: Customer Service
- Oral Telephone Simulation; Interview
An Equal Employment Opportunity Employer M/F/H/V
Recruitment may also be conducted externally to obtain the best-qualified candidates
EEOC Statement
We are committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law.