Correspondence Representative II

This is a fully remote position, open to applicants in California.

📋 Description

• Draft written correspondence and engage with clients via telephone to collect, review, and process enrollment materials for CaliforniaChoice participants.

• Possess expert knowledge of all responsibilities associated with the MPC Enrollment Rep I role.

• Exhibit understanding of Correspondence duties as determined by departmental assessments, along with the following:

• Comprehend company policies and procedures as they relate to CaliforniaChoice plans.

• Accountable for reviewing and processing various forms, including but not limited to: Employee Applications, Change Request Forms, Employee Termination Forms, and Web-Based Forms.

• Identify and gather missing or incomplete information on forms according to established guidelines and standard operating procedures.

• Adhere to the department's Pending Item process.

• Compose clear and concise written correspondence (such as pending item requests, denials, confirmations, memos, letters, etc.).

• Make outgoing calls to acquire missing or incomplete information on forms.

• Maintain a working knowledge of all products and systems utilized in the job function (such as Pegasus, doc-link, SharePoint, etc.).

• Input appropriate comments clearly and succinctly into Pegasus and/or Doc-Link.

• Meet departmental standards regarding the quality and quantity of work performed.

• Uphold departmental and team standards for turnaround times.

• Comply with all PHI (Personal Health Information) guidelines.

• Assist with departmental training requirements as necessary.

• Regular attendance and punctuality, whether onsite or remote, are essential functions of this role.

• Perform additional business tasks or functions as assigned.

⛳️ Requirements

• High School Diploma or equivalent is required.

• A minimum of three (3) years of office and/or customer service experience is required.

• At least one (1) year of data entry experience is necessary.

• Experience in customer service and phone etiquette is essential.

• Strong communication skills (written, grammatical, and verbal) are required.

• Must be able to communicate effectively in English.

• Ability to interact and communicate effectively with employees and customers at all levels.

• Must have a keen attention to detail.

• Strong analytical and problem-solving skills are necessary.

• Ability to thrive in a fast-paced, deadline-driven work environment.

• Excellent customer service and organizational skills are required.

• Capable of building commitment and overcoming resistance to change.

• Ability to retain large volumes of information is essential.

• Must accurately type a minimum of 50 words per minute.

• Proficient in Microsoft Office software (Access, Word, Excel, PowerPoint, Visio, Publisher, SharePoint, Outlook) and web-based technology.

• Must be highly motivated, self-initiating, accountable, and possess excellent interpersonal and service-oriented skills.

• Knowledge of the healthcare insurance industry is a plus.

🏝️ Benefits

• Competitive salary and benefits package.

• Opportunities for professional growth and development.

• Supportive work environment emphasizing teamwork and collaboration.

• Flexible work arrangements available.