Customer Service Representative

About the role

• Job Title: Customer Service Representative 1
• Location: Franklin TN 37067
• Duration: 0-8 months (temp to hire)

About the role

• These PART TIME shifts would be 4 or 5 hours between 8 am and 1 pm. Contractors would need to attend training and those will be Full time hours for 4 weeks.
• Handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature.
• Answers questions and resolves issues based on phone calls/letters from members, providers, and brokers.
• Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and brokers.
• Explains member's policy benefits and coordination with Medicare
• Handle complaints (member/provider), via relevant recording/reporting system
• Ensures compliance with requirements of regional compliance authority/Medicare
• Determines applicable coverage provisions and verifies member plan eligibility
• Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. Performs financial data analysis as necessary.
• Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received
• Adheres to international privacy policies, practices and procedures
• The hours may vary. The call center is open from 7 am to 8 pm Central Time. These PART TIME shifts would 4 or 5 hours between 8 am and 1 pm.
• Handles customer service inquiries and problems via telephone, internet or written correspondence.
• Customer inquiries are of basic and routine nature.
• Potentially temp to hire* Typing test/computer skills testing REQUIRED
• CSR must be able to type 30-35 WPM. CSR's should have at least a year of Medicaid/ Medicare experience. CSR must have Call Center/ Contact Center background.

Additional Information: Kind Regards

Sumit Agarwal