Customer Care

What you'll be doing: Assist members with selecting the best benefit plan options available to them through the enrollment process, including enrollment in specialized care programs. Resolve member service inquiries related to: medical benefits, eligibility and claims financial spending accounts, pharmacy benefits, eligibility and claims, correspondence requests. Educate members about the fundamentals of consumer-driven health care including: managing health and well being. Maximizing the value of their health plan benefits. Choosing a quality care provider. Premium provider education and steerage. Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member. Intervene with care providers on behalf of the member. Research complex issues across multiple databases and work with support resources to resolve member issues. Assist members with provider appointment scheduling. Connect members with internal specialists for assistance when needed. Partner with others to resolve escalated issues. Provide education and status on previously submitted pre-authorizations or pre-determination requests.

What your background should be: Minimum 1 year customer service experience. Healthcare experience preferred. Expert need identification, intake and listening skills. Strong verbal and written communication skills. Strong time management skills. Strong problem solving approach to quickly assess current state and formulate recommendations. Quickly identify requested information and anticipate future needs. Ability to translate jargon and complex processes into simple, step-by-step instructions members can understand and act upon. Demonstrate personal resilience. Strong attention to detail.

Who is the client company: This is a diversified health care company that serves the markets for health benefits and services worldwide.; If you are interested in this position, send your resume to apply@kochdavis.com