Customer Service Representative

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Job Title : Customer Service Representative 1 Location : Franklin TN 37067 Duration : 0-8 months (temp to hire) Job Description : - 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. Kind Regards Sumit Agarwal 732-902-2125

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