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Customer Service Representative

Kelly Services Phoenix Full-Time
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Kelly Services has an immediate need for a Customer Service Representative for one the world's largest healthcare insurance companies in Phoenix, AZ. This is a direct hire opportunity!  Job Summary: This is a highly specialized customer service position with an emphasis on excellence, privacy, compliance and versatility within the health insurance industry. The position will identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person. Scope of the position includes accountabilities that support the following programs: 1. Utilization Management, 2. Member Relations and 3. Network Management.   Essential Functions and Responsibilities • Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person. • Answer a diverse and high volume of health insurance related customer calls and correspondence on a daily basis. • Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines. • Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, provider networks, etc. • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries. • Document and record facts in regard to inquiries and correspondence by updating  files and system. • Demonstrate and maintain current working knowledge of the required systems, procedures, forms and manuals.   Utilization Management-related accountabilities for staff include: • Review of healthcare service requests for completeness of information • Collection and/or transfer of non-clinical data   Utilization Management-related accountabilities for Provider Assistance staff include: • Review of healthcare service requests for completeness of information • Collection and/or transfer of non-clinical data • Collection of defined clinical data using structured scripts or tools • Activities that do not require interpretation of clinical information or decisions regarding utilization of any clinical criteria for handling of a request for healthcare services or treatment • Travel may be required for employees in regional offices   The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.   Required Work Experience • 1 years of experience in claims examination, health insurance, customer service, call center, medical office, or other healthcare-related field   Required Education • High-School Diploma or GED in general field of study   Preferred Work Experience • 2 year(s) of experience in claim processing, customer service, call center, health insurance, medical office, or other healthcare-related field   Preferred Education • Associate's Degree in general field of study   Preferred Licenses • A valid Arizona driver license with an acceptable driving record if travel is required (e.g. regional employees)   Required Job Skills • Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones • Type 30 to 35 words per minute with 5% error rate or less • Intermediate PC proficiency • Required Professional Competencies • Maintain confidentiality and privacy • Practice interpersonal and active listening to achieve high customer satisfaction • Compose and dictate a variety of business correspondence • Interpret and translate policies, procedures, programs and guidelines • Capable of investigative and analytical research • Navigate, gather, input and maintain data records in multiple system applications • Follow and accept instruction and direction • Establish and maintain working relationships in a collaborative team environment • Required Leadership Experience and Competencies   Preferred Job Skills • Type >35 words per minute with 5% error rate or less • Intermediate knowledge of insurance claim coding • Intermediate understanding of dental and medical terminology • Intermediate comprehension of anatomy and medical practices  

Why Kelly®?

At Kelly Services®, we work with the best. Our clients include 95 of the Fortune 100™ companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.

About Kelly Services®

As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2017 was $5.4 billion. Visit URL blocked - click to apply and connect with us on URL blocked - click to apply, URL blocked - click to apply and URL blocked - click to apply.

Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. URL blocked - click to apply


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Customer Service Representative
Estimated Salary: $65K
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Job ID: US41ALSM_BH1595472


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It all began when William R. Kelly—founder of the temporary staffing industry—established Kelly Services® in 1946. The company's traditional expertise started with office services, call center, light industrial, and electronic assembly staffing. Through the years, we expanded our expertise and established a proven record of successfully matching job seekers to opportunities in disciplines such as science, engineering, law, education, healthcare, IT, and finance. As a Fortune 500® company, Kelly® has evolved into a global workforce solutions leader, making employment connections for nearly half a million people around the world every year. Since our founding, we have embodied the true spirit of social responsibility. Our character and values resonate through our culture. Inherently—through our core business focus—we seek to improve the quality of life for our employees, their families, and their communities, as well as society at large. We embrace the role we play and the value we contribute to society—whether ensuring equal opportunity to employment, promoting safer workplace conditions, advocating for healthcare reform, or adhering to sustainable business practices. Together with our employees and our customers, we will continue to work toward ensuring that our legacy will remain strong for generations to come. For more than 60 years, people have trusted Kelly Services to help them reach their career goals. We are your proven link to employment opportunities that will pave the way for a successful future. Whoever and wherever you are—and with the right skills and attitude—Kelly can help you find a job, expand your career, and build your future.

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