Customer Service Representative/Customer Service Associate Representative

Atlanta, GA, United States

Job Title : Customer Service Representative/Customer Service Associate Representative

Duration: 3+ Months

Shift - must be available to work 8 hours, Monday-Sunday (rotational 5 days working), 7:00am to 10:00pm central time zone with a possible rotating schedule

Training: - Training - 5 weeks on a 40 hour per week schedule, 8AM CST to 4:30PM CST. Schedules are released approximately 2 weeks before training ends.

100% Remote

Note - The candidate must have their OWN internet that is 10 Mbps or better. The internet cannot be used wirelessly. The ISP must provide a hard-line service into the home. No AT&T internet service.

Responsibilities

Handle inbound calls and complete outbound calls.

Delivers straightforward administrative and/or other basic business services in Customer Service.

Receives requests by mail, telephone, or in person regarding insurance claims/policies.

Receives requests via telephone regarding Insurance application status.

Responds to inquiries from policy holders, providers and/or others for information and assistance.

Sell the assessment to members, entice the member to agree to a free benefit provided by their insurance and secure the scheduled visit

Performs research to respond to inquiries and interprets policy provisions to determine most effective response.

Mails or routes claim forms and supporting documentation to various units for final processing.

Position typically requires excellent interpersonal skills, ability to understand and interpret policy provisions.

Independently responds to inquiries, grievances, complaints or appeals ranging from routine to moderate complexity.

Issues tend to be routine in nature. Good knowledge and understanding of Customer Service and business/operating processes and procedures. Works to clearly defined procedures under close supervision.

Must have their own broadband internet 10 MBps Cannot use AT&T nor satellite internet.

Assist callers and customers understand our business. Topics would include answering benefit questions, claims questions, guiding on the appeals process, guiding on initiating authorization for pharmacy/medical calls, documenting and guiding with complaints, payment inquiries, and other customer service common questions.

Make it easy for customers to work with us. Take ownership of their issues and do your best to resolve them over the phone the first time, every time.

Be an advocate for health and wellness.

Skills:

Top Skills: Customer Centric, Typing 35 WPM, Punctual, Attendance

Computer competencies (Able to hook up an HDMI cord, turn on a monitor, plug in Ethernet cord, plug in USB cord/device, dial into a conference call, Windows 10 knowledge, and how to use a telephone)

Basic Troubleshooting skills that uses all resources trained to resolve customer issues.

Utilize Outlook, Excel (view documents), and web based knowledge tools,.

1+ years of customer service experience analyzing and solving customer problems required;

Must be able to connect a monitor, keyboard, HDMI cable, USB cables, and telephone to a computer. This includes connecting equipment remotely and following written instruction.

Intermediate proficiency in Microsoft Office Suite; high level capacity to multitask independently and on a computer

Knowledge of Medical Terminology a PLUS

Excellent written and oral communication skills

Exceptional organizational and time-management focus

Proven abilty in connecting to meeting software Zoom or WebEx

Education:

Minimum GED or High School Diploma required

College Preferred.

CPRA - Notice to California Applicants: SPECTRAFORCE is committed to complying with the California Privacy Rights Act (“CPRA”) effective January 1, 2023; and all data privacy laws in the jurisdictions in which it recruits and hires employees. A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our website. Applicants with disabilities may access this notice in an alternative format by contacting

[email protected] .

About Us: Established in 2004, SPECTRA FORCE ® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRA FORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at:

http://www.spectraforce.com

Benefits: SPECTRA FORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRA FORCE provides unpaid leave as well as paid sick leave when required by law.

Equal Opportunity Employer: SPECTRA FORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at [email protected] if you require reasonable accommodation.

At SPECTRA FORCE , we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws.