Open Position

Customer Service Specialist

Job Description

• Positively influence client retention by meeting and/or exceeding customers’ on-going, day-to-day service needs.
• Proper resolution of telephone and written inquiries from members, providers and their representatives regarding all areas of benefit payments.
• Effectively manage internal requests for information in a timely manner, with a positive attitude.
• Process flex claims and HSA claims.
• Process overflow medical and dental claims as needed.
• Provide internal communications as needed.
• Other special projects/duties as assigned by the Manager.

Job Requirements

• Exhibits high level of professionalism.
• Excellent organizational, prioritization, written and verbal communication skills.
• Excellent interpersonal skills to effectively handle difficult customers/providers and heavy call volume.  Good listening skills.
• Ability to establish rapport and work well with others.  Positive attitude.  Team player.
• Strong desire to learn and develop as a professional member of the workforce.
• Detail oriented, accurate and analytical.
• Ability to manage multiple projects and operate in a fast paced, high disruption and ever-changing environment.
• Ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action.
• High level of initiative and motivation.  Demonstrate initiative to increase knowledge and skills to keep pace with changes in business.
• Ability to maintain confidentiality in work processes.
• Respond well to direction and require little direct supervision in completing duties.
• Ability to attend/conduct meetings outside the normal workday on an occasional basis.
• Ability to use Microsoft Excel and Word with at least an intermediate level of proficiency.  Advanced skills preferred.  Proficiency in Access a plus.
• Technical training, associate or undergraduate college degree preferred.  High school diploma required.
• 3 – 5 years experience in the healthcare industry. Customer service and/or claims processing experience preferred.
• Knowledge of medical, dental, flex and/or HSA benefit plans.
• Knowledge of PPO networks, provider contracts, compensation methods/structures a plus.

Submit resume w/references to:

hiringteam@coxinet.net

EOE