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Customer Care Rep Claims I

Reliance Matrix
United StatesRemotefull_timeVerifiedPosted 7 Oct 2024
💰 $36,000/yr

About the role

Job Responsibilities and Requirements

The Customer Care Representative will display a high level of compassion on a daily basis showing empathy, sympathy, and developed coping skills to maintain professionalism in every situation over the phone. This individual will treat every claimant with a high level of integrity demonstrating accountability; respectful and reliable. Willingness to help teammates while accepting other duties as assigned, as needed. Demonstrate a strong worth ethic, the ability to self-motivate and work well independently, while being focused and disciplined in a professional environment. Provide effective verbal and written communication skills timely while providing excellent customer service. Use judgment with a sense of urgency to make accurate decisions and utilizes available resources. Has the ability to multitask, remain organized and be detailed oriented, takes initiative and able to adapt to different working environments. This position will manage inbound calls for claimant related leaves and/or Intake applications, and perform outbound voice work tasks related to selected clients and claimants.

  • Answer inbound calls from clients and claimants across the country
  • Accurately file and document client/claimant specific information into the applicable system
  • Adhere to all department standards
  • Respond to client and claimant inquiries in a timely and efficient manner
  • Consistently deliver exceptional customer service. Measured by the results of our Quality Monitoring program
  • Ability to communicate effectively with all levels of management.
  • Demonstrate confidence, strong decision quality and sound judgment when assisting claimants.
  • Resolves routine administrative technical issues for applicable source systems
  • Answer related claims questions for applicable clients specific to the Intake process and reporting missed time
  • Responsible and accountable for maintaining and protecting personal health information. Must maintain a high level of confidentiality and abide by HIPPA rules and regulations
  • Reliable, regular, and predictable attendance to ensure appropriate staffing to handle call volume
  • All other duties as assigned

 Key Competencies:

  • Strong customer service skills: Polite, Friendly, and Helpful
  • Ability to type and talk
  • Proven patience and understanding
  • Active listening skills
  • Strong attention to detail
  • Demonstrated compassion
  • Ability to work independently and remotely
  • Ability to communicate effectively in both verbal and written interactions
  • Ability to handle confidential information with the utmost judgment and discretion
  • Exceptional interpersonal communication skills and the ability to work with a diverse workforce.
  • Proficient at maneuvering on a PC with working knowledge of MS Office (Word, Excel and Outlook).
  • Ability to manage and meet departmental deadlines and key performance indicators
  • Demonstrated ability in verbal and written skills, and reading comprehension.
  • Proven experience in providing quality customer service (preferably a call center)
  • Knowledge of medical terminology preferred
  • Experience using web based programs
  • High Speed home internet installed for Remote/Teleworker*

Work Environment

  • RelianceMatrix’s Customer Care Center operates 24 hours per day/7-days per week. We offer a variety of 
    schedules due to this scope of coverage.
  • A Customer Care Representative must be available to work a scheduled shift between the core business hours; Mon-Fri 4am to 8pm Arizona time, and open to working some Holidays. 
  • Customer Care Representative must be willing and able to work sitting in one place taking calls and speaking for the entirety of their scheduled shift (excluding scheduled breaks and lunches).
  • Customer Care Representative must be willing and able to work in a fast-paced, team oriented, dynamic inbound/outbound call center.
  • Customer Care Representative must have predictable and reliable attendance and adherence to their daily and weekly assigned schedule.

POSITION SCOPE

Pay Rate: $18

Direct Reports:

No direct reports.

PHYSICAL REQUIREMENTS

When used in the description below, the following terms are defined as:

“Occasional”: done only from time to time, but necessary when it is performed

“Frequent”: regularly performed; generally an act that is required on a daily basis

“Continuous”: typically performed for the majority of an employee’s shift

Sitting for prolonged periods of time, extensive typing and otherwise using primarily the fingers rather

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Company

Reliance Matrix

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