Customer Service Representative - SECUR
SECUR - Tampa, FL
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It's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the SECUR Team, you'll realize it's more than a job. It's a mission. We're committed to providing groundbreaking solutions for our clients' unique needs offering a wide variety of compassionate healthcare choices. Our employees make all the difference in our success!Role: The Customer Service Representative handles welcoming the Members to the SECUR community and answering any coverage or benefit questions. Assisting callers maneuvering through complex healthcare plans, by getting them the information they need to make important decisions for themselves and their loved ones. Ensures a smooth handoff is conducted between departments and all initial concerns are rectified. Also responsible for answering claims and billing questions for the member.Qualifications:Bachelor's degree in Human Services or related field preferredMinimum of one (1) year of healthcare related rolesMinimum of one (1) year of health claims related experience.Solid communication (verbal and written) skillsHighly organized and self-motivatedMust understand basic functions of the care continuum and have a solid record of working with patients and families through various mediumsExperience working with a PC and the Windows operating system is required.Bilingual in Spanish preferredCompetencies:Satisfactorily complete competency requirements for this position.Responsibilities of all employees:Always represent the Company professionally through care delivered and/or services provided to all clients.Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.Comply with Company policies, procedures and standard practices.Observe the Company's health, safety, and security practices.Maintain the confidentiality of patients, families, colleagues, and other sensitive situations within the Company.Use resources in a fiscally responsible manner.Promote the Company through participation in community and professional organizations.Participate proactively in improving performance at the organizational, departmental, and individual levels.Improve own professional knowledge and skill level.Advance electronic media skills.Support Company research and educational activities.Share expertise with co-workers both formally and informally.Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.Job Responsibilities: Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as eligibility, benefits, providers and claimsMust have demonstrated excellent interpersonal and leadership skills and the ability to organize simultaneous tasks.Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow-up with the memberEducates on benefits and resources available.A proven ability to work as a member of a team is required.Earns mutual trust with families and Members to build rapport.You will follow established and documented policies and standard operating procedures, such as completing timesheets and adhering to privacy rules.You will answer calls and assist customers seeking information about SECUR insurance, utilizing standard technology such as a telephone, web browser, and email.Performs other duties as assigned.This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.
Created: 2024-09-28