Customer Service Associate

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

📋 Description

• Respond to telephone inquiries from plan participants, group contacts, and providers concerning benefits and claims.

• Deliver clear, precise, and prompt answers to information requests.

• Record calls in Chronolog by summarizing essential discussion points.

• Return calls from specified voicemail boxes.

• Read, interpret, and implement plan documents, amendments, and updates for various clients.

• Meet with clients as necessary to address questions about health benefit plans.

• Provide support to team members and cross-functional partners.

• Log faxed claims and input fax information into Chronolog.

• Redirect misdirected claims to the proper provider.

• Assist members with navigation of the website.

• Achieve or surpass production, quality, and audit standards.

• Maintain dependable and punctual attendance.

• Investigate and identify claim information.

• Aid in maintaining provider records.

• Index claims and correspondence batches.

• Fulfill responsibilities for assigned client groups.

• Support employee training and cross-training initiatives.

• Research and compile refund documentation.

⛳️ Requirements

• High school diploma or GED is mandatory.

• Basic experience in computer usage and customer service.

• Exceptional verbal and written communication abilities.

• Proficiency in Windows, Word, and Adobe Acrobat, with a willingness to learn new software.

• Minimum typing speed of 45 words per minute.

• Strong listening skills and attention to detail.

• Basic mathematical skills.

• High interpersonal skills with the ability to work collaboratively.

• Capability to organize and recall extensive detailed information.

• Proficient in reading, analyzing, and interpreting benefit plans, insurance documents, and regulations.

• Professional demeanor with the ability to present a positive image.

• Commitment to privacy and confidentiality standards.

• Flexibility to work under pressure and meet deadlines.

• Strong problem-solving skills, demonstrating professionalism and patience.

• For remote work, must have cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload.

🏝️ Benefits

• Option for remote work (either occasionally or permanently).

• Requirement for internet service/support context for home working: cable broadband or fiber optic service with a minimum of 10Mbps download/5Mbps upload.

• Reasonable accommodation assistance available for the online application process.

• Eligibility for tobacco/nicotine cessation program prior to employment in applicable states.