Talent.com
serp_jobs.error_messages.no_longer_accepting
Customer Service Rep.

Customer Service Rep.

EmblemHealthNew York, NY, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Summary of Position

  • Receive, answer and / or record telephone / correspondence / e-mail inquiries from subscribers, providers, and other

consumers relating to areas of coverage, payment of claims, membership status, medical management intake calls, etc.,

under the various EmblemHealth medical / surgical, dental, hospital and Medicare plans.

  • Review inquiries, correspondence, and email receipts. Prepare email resolutions, letters (form or narrative letter) and / or
  • claims payment process adjustments.

  • Perform written and verbal duties of the position to meet company goals for production and accuracy.
  • Perform related claims approving and clerical work as assigned.
  • Perform other duties as assigned or required.
  • Regular attendance is an essential function of the job.
  • Principal Accountabilities

  • Must be able to work under pressure, handle stressful situations effectively and deal politely with subscribers and
  • providers on the telephone, in person, and email / correspondence.

  • Ability to detect and relate problem service issues to management.
  • Ability to speak well on the telephone and maintain a positive telephone personality.
  • Must be able to compose clear concise letters.
  • If designated, sort and screen correspondence receipts and resolve via coding of additional payment, including salvage
  • and / or completion by letter.

  • Typing and PC skills.
  • Ability to adapt to change and address multiple issues simultaneously.
  • Good organizational skills.
  • Must be available for training.
  • Qualifications

    Education, Training, Licenses, Certifications

  • A minimum of two (2) years' experience in customer service; one year must be in a call center setting.
  • A college degree is preferred.
  • Relevant Work Experience, Knowledge, Skills, and Abilities

  • Health insurance experience is a plus.
  • Additional Information

    Requisition ID : 1000002630_56

    Hiring Range : $24.67 per hour

    serp_jobs.job_alerts.create_a_job

    Customer Service Rep • New York, NY, United States