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in Redding, CA
Health Insurance Call Center Representative Openings!
•30 days ago
Hours | Full-time, Part-time |
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Location | Redding, CA Redding, California |
About this job
Kelly Services has Multiple Customer Service Representative openings for our client, one of California's leading health insurance providers, at their location in Redding, CA. Positions are paying $15.25 per hour and will start in June 2017!
Day to Day Responsibilities of this Position and Description of Project:
Responds to and resolves various customer inquiries via telephone and correspondence, and resolves claims problems within established production and quality standards.
Answers incoming calls and written requests for information from members or providers promptly and accurately.
Composes routine and non-routine correspondence to answer member inquiries that require a written response.
Coordinates with other departments to ensure timely and appropriate responses.
Expedites and resolves complex issues and makes claim adjustments.
Educates others on the client product, providing accurate information and updates to policies and procedures, improving overall customer satisfaction in the process.
In the Lead role, deals with the most complex cases and issues as an individual contributor or may focus on mentoring and acting as a backup for supervisory responsibilities.
May assist in scheduling and coordinating team activities.
Typically provides input in hiring decisions and performance appraisals.
Handles the highest level of escalated and unresolved calls.
Responsibilities:
Answer incoming Eligibility and Benefit calls and Claims calls from members and providers
Respond to written correspondence from members and providers
Perform at established performance metrics in Quality, Adherence, Contact Resolution & Customer Satisfaction
Handles escalated calls; may de-escalate calls
Responds to member benefits in writing
Peer to peer coaching /training
Performs inventory reduction, routine to mid-level, (i.e. member inquiries, may adjust claims, responds to emails, etc.)
May expedite, research, and resolve complex issues
Consistently performs established performance metrics, such as quality, production; average handling time (AHT) and calls per hour (CPH)
Works with minimal supervision
Education/Requirements:
High School Diploma and/or GED required
Successfully meets requirements of nesting audit
Have strong customer service experience (especially phones) and a proven ability to meet performance standards
Strong organizational skills
Ability to work independently
Ability to mentor others
Ability to interpret the various health plans and any documentation associated with them
Medical, insurance background helpful.
Dual-monitor environment; must be able to type from touch
Customer-focus or heavy phones helpful.
Like to see increased responsibility throughout work history
Why Kelly?
At Kelly Services®, we work with the best. Our clients include 99 of the Fortune 100™ companies, and more than 70,000 hiring managers rely on Kelly® annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.
As a Kelly Services candidate you will have access to numerous perks, including:
Exposure to a variety of career opportunities as a result of our expansive network of client companies
Career guides, information and tools to help you successfully position yourself throughout every stage of your career
Access to more than 3,000 online training courses through our Kelly Learning Center
Weekly pay and service bonus plans
Group- rate insurance options available immediately upon hire**Available for purchase and administered by a designated third-party vendor
Let us help advance your career today.
Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, and Gender Identity, and is committed to employing a diverse workforce.
Important information: This position is recruited for by a remote Kelly office, not your local Kelly branch. Please submit your resume to be considered for this position. If you have questions about the opening, you may contact the recruiter for this position at matthsy@kellyservices.com.
Why Kelly®?At Kelly Services®, we work with the best. Our clients include 95 of the Fortune 100™ companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.
About
Kelly Services®
As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2016 was $5.3 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn and Twitter.
Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. Equal Employment Opportunity is The Law.]]