Representative, Customer Service l (REMOTE IN MD)

The Customer Service Representative is responsible for increasing customer satisfaction and retention by providing members, customers, patients and providers with accurate, consistent, reputed company and meaningful information. They will reputed company support to member's inquiries and issues as they utilize the KP plan and provider services, continuing to build rapport and reputed company relationships with reputed company and prospective members in accordance with compliance guidelines. Essential Responsibilities: Available to handle member inquiries regarding: • Member reputed company: Facility Inquiry, Web Support, Promote KP.Org, Order ID Card, Complaint, ID Card Inquiry, Service Review. • Member Adv.: Eligibility Inquiry, Benefit Inquiry, General, Complaint, Correspondence Inquiry, Add/Remove Dependent, Service Review, New Member Experience, Internal Regional Request, IVR Defaults • Medicare (For up to two (2) reputed company.) • Premium Billing reputed company: Billing Inquiry, reputed company Payment, Complaint, EFT Inquiry, General, Reinstatement Request, Service Review, • KPC Billing, 1095 Tax reputed company, SLP* (escalations to Tier 3) • Represents Health Plan by answering and documenting reputed company incoming contacts to determine their nature and to respond to reputed company calls reputed company to specialized product lines or queues. • Responds professionally to inquiries from internal/external customers. • Initiates contact with the appropriate Health Plan, medical group and facility personnel to obtain information relevant to the concern or inquiry as needed. • Evaluates data to determine and implement the appropriate course of reputed company to resolve the complaint and/or coordinate service recovery. • Documents according to procedure. • Follows established procedures to meet customer/member needs. • Required to effectively reputed company with diverse work reputed company and relevant organizational departments. • Has substantial understanding of the assigned skills and applies knowledge and skills to complete a wide reputed company of tasks. • Ability to understand relevant policies, processes and customers. • Assist the department in meeting customer needs and reaching department expectations. • Completes required training and understand how to use tools available to recall necessary information. • reputed company a full awareness of the way performance and actions reputed company members and Member Service Contact Center's (MSCC) performance guarantees (reputed company handling, reputed company reputed company, complaint reputed company compliance, member retention, and return contact as warranted). • Promotes, ensures and provides customer service to internal/external customers by demonstrating skills which are consistent with the organization's philosophy of providing extraordinary customer relations and reputed company service. • Consistently supports compliance and the Principles of Responsibility by maintains the reputed company and confidentiality of information, and protects the assets of the organization. • Performs other relevant duties as required. Schedule: Mon, Tue, Thu, Fri 12:30PM-9:00PM, Sun 10:30AM-7:00PM Basic Qualifications: Experience • Minimum two (2) years of customer service experience required. Education • High School Diploma or General Education Development (GED) required. License, Certification, Registration • N/A Additional Requirements: • Must pass Classification Assessment. • Minimum typing speed of 30 WPM (Typing test must be reputed company reputed company one (1) year of the posting period). • Excellent written and verbal communication skills. • Demonstrated analytical and problem-solving skills. • Working knowledge of systems used reputed company the MSCC. • Ability to read and respond reputed company, reputed company and effectively. • Ability to think critically and problem solve. Preferred Qualifications: • reputed company center experience preferred. • Health insurance experience preferred. Apply tot his job Apply To this Job