Highmark Health Associate Customer Service Representative - Highmark Health in Wilkes-Barre, Pennsylvania
Handles customer inquiries by telephone and/or email and/or in person from individual members, groups, providers and brokers in a customer service center. Troubleshoots and resolves customer complaints. Ensures that responses to inquiries are completed timely and according to established service and quality standards.
Resolves customer inquiries and complaints via written, telephonic and face-to-face communication in a timely and accurate manner.
Prepares adjustments for services not properly processed, either systematically, or by forwarding to the appropriate area for follow up and resolution.
Meets all production, quality, and adherence standards. Attends all required training classes.
Elevates issues to next level of supervision, as appropriate.
Maintains accurate records, including timekeeping records.
Other duties as assigned or requested.
High School Diploma/GED
- 1-2 years customer service experience with call center and/or healthcare experience highly preferred.
Knowledge of principles and processes for providing customer service, including customer needs assessment and meeting standards.
Ability to handle many tasks simultaneously and respond to customers and their issues promptly and professionally.
Ability to take direction and to navigate through multiple systems simultaneously.
Ability to maintain composure under stressful and fast-paced conditions.
Strong written and verbal communication skills
Ability to communicate complex information in a simple, customer facing way.
Work Schedule: Must be available between the hours of 8:15 AM - 8:00 PM for a 40 hr. shift. Training is 9 weeks: 8:00 AM-5:00 PM M-F. Option to work from home after 1 year upon successful demonstration of job stability, performance, and in-house measures.
Referral Type: Level 1
This job requires the ability to work as a team member. Additionally, this job requires the willingness and ability to report to work on a regular and timely basis and may require irregular work hours, holidays and/or weekends.
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity