Call Center - health plans

Studio City, CA | Temporary

Job ID: WH-DC-custserv01dup Category: Healthcare Pay Rate: $19 / hr (doe)

Career Strategies seeks an outgoing and energetic customer service representative experienced in dealing with health plans and explaining complex policies and benefits in understandable terms. This is a high volume inbound and outbound call center responsible for responding to participants and provider questions regarding a variety of subjects including benefits eligibility, claims, pension, and premiums payments.

About the Job

  • Answer phone calls regarding benefits eligibility, claims, pension, and payments
  • Review and process participant records, including legal documentation, account numbers, addresses, beneficiary designation, plan selections, coordination of Benefits records, Life Insurance, COBRA, etc.
  • Explain eligibility, pension and health benefits to plan participants
  • Assist plan participants in completion of documents
  • Other duties, projects, etc., as assigned

Categories: Healthcare, Medical, #Claims, Legal, Billing, Pension, #Benefits, Human Resources, Lawsuit, Adjudication, #hr

About You

  • 2+ years of customer service phone experience in a high call volume environment.
  • Health insurance experience is a plus.
  • Clear and effective oral and written communication skills; ability to explain and confirm understanding of complex issues.
  • Pleasant and professional telephone etiquette.
  • Excellent attendance and punctuality.
  • Able to handle fast-paced work and meet deadlines.
  • Able to handle a high volume of calls and meet the standards.
  • Motivated self starter, well organized in managing time and materials.
  • Strong attention to detail, a high level of accuracy required.
  • Able to learn quickly and follow through to completion.
  • Good interpersonal skills; ability to interact effectively and cooperatively with co-workers and callers.
  • Team player with a positive, cooperative and helpful attitude.
  • Ability to adhere to organizational values.
  • Maintains confidential information.
  • Accurate typing skills of 45+ wpm.
  • 10-key skills by touch, preferred.
  • Proficient PC skills, including Windows; MS Word and MS Excel.
  • Able to lift and move up to 20 lbs.      
  • Available for overtime, including weekends, as needed

Equal Opportunity Employer considering qualified candidates in accordance with state and federal laws, including those with criminal histories, in a manner consistent with the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance.


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