Medicare Advantage Call Center Representative

Description

 

We are looking for a Medicare Advantage Call Center Representative to play a crucial role in ensuring the satisfaction and well-being of our clients by providing exceptional customer service and support regarding their Medicare Advantage health insurance needs.

 

You will serve as a primary point of contact for enrollees, assisting them with inquiries, claims processing, policy explanations, and issue resolution. Your dedication to delivering top-notch service will contribute to enhancing our company's reputation and fostering long-term relationships with our clients.  The ideal candidate will be a “people person” with a friendly, outgoing personality.

 

Pay will depend on experience level with full salaried benefits available, including paid time off for holiday, sick and vacation time, 401K, health insurance, etc. Apply today to be considered for this great opportunity! Compensation expectation between $20-24/hr. depending on experience   

Responsibilities: 

• Serve as the first point of contact for customers seeking assistance with their health insurance policies. 

• Respond promptly and professionally to customer inquiries via phone, email, or chat, addressing questions related to coverage, benefits, claims, and billing. 

• Assist customers in navigating insurance forms, documents, and online portals, ensuring accuracy and completeness of information. 

• Process insurance claims efficiently and accurately, verifying coverage, coordinating with healthcare providers, and resolving any discrepancies or issues. 

• Investigate and resolve customer complaints or concerns, escalating complex issues to the appropriate department or supervisor when necessary. 

• Educate customers on healthcare terminology, insurance terminology, and policy features to empower them to make informed decisions. 

• Collaborate with other departments, such as claims processing, underwriting, and sales, to ensure seamless customer service delivery and resolution of customer issues. 

• Keep abreast of changes in healthcare laws, regulations, and insurance policies to provide up-to-date information and advice to customers. 

• Maintain accurate records of customer interactions, transactions, and inquiries using CRM software or other designated systems. 

• Contribute to the continuous improvement of customer service processes and procedures by providing feedback and suggestions for enhancement. 

Qualifications: 

• High school diploma or equivalent; bachelor's degree preferred. 

• Minimum 3 years experience with insurance payer customer service experience including Medicare Advantage  
• Strong communication skills, both verbal and written, with the ability to convey complex information clearly and concisely. 

• Strong understanding of health insurance terminology, policies, and procedures.
• Excellent interpersonal skills and a customer-focused mindset, with a passion for helping others. 
• Proficiency in using computer software and navigating web-based applications; experience with Microsoft software and CRM software preferred 
• Ability to multitask, prioritize workload, and work effectively in a fast-paced environment. 
• Detail-oriented with strong problem-solving skills and a commitment to accuracy.
• Flexibility to work occasional evenings and weekends as needed.

 

 

About Us

CTG is a leading provider of digital transformation solutions and services that accelerate clients' project momentum and achievement of their desired IT and business outcomes. Our vision is to be an indispensable partner to our clients and the preferred career destination for digital and technology experts. CTG has operations in North America, South America, Western Europe, and India. For more information, visit www.ctg.com.

 

Our culture is a direct result of the people who work at CTG, the values we hold, and the actions we take. In other words, our people are the culture. It's a living, breathing thing that is renewed every day through the ways we engage with each other, our clients, and our communities. Part of our mission is to cultivate a workplace that attracts and develops the best people, reflected by our recognition as a Great Place to Work-certified company in every country in which we operate.

 

CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.

 

CTG is an Equal Opportunity and Affirmative Action Employer. CTG will assur