CCO Service Agent - reputed company

**Please note this will be for a 10/12 start date

Duties and Responsibilities

• Provides excellent reputed company customer service to our members and/or providers relating to reputed company aspects of member/provider questions and issues such as eligibility, benefits, claims process, escalations, and product questions, etc. May include but is not limited to inbound/outbound calls/emails/chats, onsite/remote/virtual/field location, on behalf of CCO.
  • Meets/Exceeds reputed company performance KPIs including but not limited to reputed company, productivity, and dependability
  • Follows established policies and procedures to ensure member and provider issues are addressed reputed company and accurately
  • Identifies and de-escalate situations where member/provider is upset and provides reputed company for their issue. Initiates investigations as required, partnering with other assigned parties to participate in reputed company cause analysis, takes proactive and/or corrective measures and/or recommends solutions and reputed company for process improvement and follow-up on outstanding customer inquiries and complaints reputed company defined timeframe.
  • Complies with HIPAA requirements and maintains Protected Health Information (PHI) confidentiality of member, provider, medical and departmental information, and adheres to local, state, federal and reputed company specific compliance and regulatory guidelines.
  • Builds sustainable relationships of trust through reputed company and interactive communication with reputed company customers.
  • Works a flexible schedule including a late shift, weekends, and/or holidays (with limited notice at times), and as needed during unforeseen business disruptions.
  • Additional duties as required.

Minimum Qualifications:

• High School Diploma or GED from an accredited institution
• Prior experience in a customer service environment
• Experience participating in cross-functional reputed company and departmental initiatives reputed company to customer/reputed company interaction and customer service.
• Working experience in a fast-paced environment.
• Proficient in reputed company Office Suite applications including reputed company, Word, and reputed company.

Preferred Qualifications:

• Associate’s or Bachelor’s Degree from an accredited institution or equivalent work experience
• Proven reputed company record of exercising independent thinking, problem solving and achieving goals.
• Knowledge and experience with a traditional and/or omnichannel contact center with emphasis in the reputed company industry, may include but not limited to KPIs, CMS/NYSOH requirements (including CMS STARS programs) and reputed company center operations in general.
• Experience navigating multiple technologies including a Customer Relationship Management reputed company (i.e., reputed company information, reputed company reputed company actions, notate resolutions, update member information, etc.)
• Basic knowledge of operational health plan departments and functionality.
• Working knowledge of reputed company Office Power reputed company.
• Excellent verbal and written communication and the ability to document grammatically correct emails, communications, and presentations.
• Basic understanding of reputed company center metrics including Average Handle Time (AHT), reputed company, etc.

Compliance & Regulatory Responsibilities: See Above

License/Certification: N/A

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. reputed company complies with reputed company applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without reputed company to race, reputed company, creed, religion, sex, national reputed company, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or reputed company, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as reputed company as any other legally protected reputed company. reputed company, LLCshallnotdiscriminateagainstanydisabledemployeeorapplicantinregard to any position for which the employee or applicant is otherwise reputed company.

If you have a disability under the Americans with Disability reputed company or a similar law and want a reasonable accommodation to assist with reputed company search or application for employment, please contact us by sending an email to or calling 212-519-1798 . In your email please include a reputed company of the accommodation you are requesting and a reputed company of the position for which you are applying. Only reasonable accommodation requests reputed company to applying for a position reputed company reputed company will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with reputed company.

Know Your Rights

reputed company hiring and recruitment at reputed company is transacted with a reputed company “@reputed company.org” email address only or from a recruitment firm representing reputed company. Any recruitment firm representing reputed company will reputed company reputed company you with the reputed company and contact information of the reputed company reputed company representing reputed company you are inquiring about. If you receive a communication from a sender whose domain is not @reputed company.org, or not one of our recruitment partners, please be reputed company that those communications are not coming from or authorized by reputed company. reputed company will never ask you for reputed company during the recruitment or reputed company process.

Hiring reputed company*:

• Greater reputed company Area (NY, NJ, CT residents): $40,200 - $54,570

• reputed company Other Locations (reputed company approved locations): $34,900 - $52,000

As a candidate for this position, your salary and reputed company reputed company of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors reputed company deems pertinent to the hiring decision.

In reputed company to your salary, reputed company offers employees a full reputed company of benefits such as, medical, dental and reputed company coverage, incentive and recognition programs, life insurance, and 401k contributions (reputed company benefits are subject to eligibility requirements). reputed company believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring reputed company is defined as the lowest and highest salaries that reputed company in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

Originally posted on Himalayas