Job title: Call Center Service Reps – Hybrid/Remote Training Benefits Career Path New $20.50/hr Starting Rate
Company: Fallon Health
Job description: ResponsibilitiesPosition Overview:The Member Services Representative is accountable for successfully addressing member and provider inquiries received through Fallon Health’s 1-800 numbers, as well as providing direction on Plan policies, procedures, and benefits.Some key responsibilities include:
- Ownership for development of knowledge and skills, as training program provides material and framework for success.
- Ownership for customer satisfaction. Member Service Representatives are the primary liaison for our members to obtain the information or support they need As such, our representatives are expected to fully understand member/ provider needs, and within corporate/ department policies, take whatever action is necessary to fully satisfy the inquiry.
- Clear and concise documentation of call detail for tracking of member/ provider contacts.
- Identification and communication of trends that are indicative of enterprise service issues.
- Escalation of member/provider concerns and servicing issues.
- Appropriate execution of corporate and department policies/ practices.
Qualifications
- High school diploma required, Bachelor’s degree or advanced education desirable
- 2+ years professional work experience preferably in a customer facing inbound call-center setting.
- The ability to multitask and leverage strong typing skills and a high proficiency with MS Word, MS Excel and system data entry are essential tools for success in this role
About Fallon Health:Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is the only health plan in Massachusetts to have been awarded “Excellent” Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visitFallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.#P02
Expected salary: $20.5 per hour
Location: Worcester, MA
Job date: Wed, 06 Nov 2024 06:14:26 GMT
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