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Member Services

Burnett Specialists San Antonio, TX Full-Time
$15.00/ hour
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Our client managed health-care company that provides health care for many Texans and serves members in all 254 counties across the state. As a Customer Service Representative I, you will be empowered in educating our Members by answering questions and solving member inquiries via telephone and written correspondence.

• Document all activities for reporting and resolution through the customer relationship management application (CRM) • Answer inquiries from members regarding eligibility, product/covered benefits, value added services, authorization status issues, etc. • Provide first call resolution through issue documentation and resolution with appropriate internal resource, follow-up and ensure closure with the contact who initiated the inquiry • Respond appropriately to member issues and concerns, and provide trending feedback to improve the customer experience • Intake Member Complaints/Grievances/Appeals • Process customer correspondence and provide the appropriate level of timely follow up • Manage service related follow up items and outstanding tasks in accordance with established turn around times • Provide assistance to members regarding Secured Web Portal regarding website registration, navigation and customer related inquires • Maintain performance and quality standards based on established call experience guidelines • Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service , quality improvement and call reduction
• High School Diploma or GED; • Proficiency in MS Office • Strong attention to detail • Excellent written and verbal communication skills

Recommended skills

Process Improvements (Business)
Registration
Customer Relationship Management
Navigation
Customer Service
Verbal Communication

Location

Salary Details

This salary was provided in the Job Posting.
$15
Hourly Salary

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Member Services
$15.00/ hour
Estimated Salary: $70K
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