Customer Service Representative
- 📁
- Manager & Professional
- 💼
- EmblemHealth
- 📅
- May 08, 2020 Post Date
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
Company Statement
Careers at EmblemHealth: For nine decades, EmblemHealth has been making quality health care accessible and affordable for New Yorkers, and helping to make life better in the communities we serve. Our employees are proud of that legacy and want to make health care better for everyone. Here we inspire success while helping employees build meaningful careers. We offer competitive health and welfare benefits, retirement benefits, and incentive pay plans. Join us for a rewarding experience.
Pay Disclosure
A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.
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.
Sponsorship Statement
Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, Emblemhealth may provide work visa sponsorship for certain positions.
