Position Description:Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.Primary Responsibilities:Provide excellent service to walk-in membersActs as a customer advocate in providing assistance to resolve member's issues and problemsFollow-up calls to members with resolution to identified issues in timely mannerResolves inquiries related to authorizations, claims, enrollment, and billingProvides service requests to other departments as neededFulfills material requests for membersMaintains accurate member data, including addresses, phone numbers, and PCP changesInputs data in system for record tracking and issue resolutionDocuments all issues in system in a timely mannerProactively educates members on cover benefits, plan exclusions, and procedures to enhance total customer service experiencePromotes various store events and seminars to customersAssists members to apply for various government assistance programsPerforms accountabilities in accordance with established organizational metrics Identifies trends and continuously makes recommendations to improve processesReports issues or problems with members, systems and processes to managerAssists and involves in member retention projectsPerforms other related projects and duties as assignedDemonstrate the ability to build and maintain productive working relationship with others and contribute as an effective team memberPerforms Insides sales function to increase new businessService walk-in prospects interested in Medicare and individual productsResponsible for the daily support of the sales function to minimize the administrative work of producers
FORMAÇÃO:Inglês FluenteGraduação em Administração, RH, Psicologia, Pedagogia ou áreas afinsPós Graduação ou MBA ( desejável)
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.