NEW JOB OPENING
CUSTOMER SERVICE REPRESENTATIVE
IN San Diego, CA, USA!

Description:

The Customer Service Representative is responsible for increasing customer satisfaction and retention by providing members, customers, patients and providers with accurate, consistent, timely and meaningful information. They will provide support to member inquiries and issues as they utilize the Client Plan and provider services, continuing to build rapport and collaborative relationships with current and prospective members in accordance with compliance guidelines. Major Responsibilities / Essential Functions:, Represents health plan by answering and documenting all incoming contacts to determine their nature and to respond to complex calls related to specialized product lines or queues , Responds professionally to inquiries from internal/external customers, Initiates contact with the appropriate health plan, medical group and facility personnel to obtain information relevant to the concern or inquiry as needed. Evaluated data to determine and implement the appropriate course of action to resolve the complaint and/or coordinate service recovery , Documents according to procedure , Follows established procedures to meet customer/member needs , Required to effectively interact with diverse work units and relevant organizational departments, Has substantial understanding of the assigned skills and applies knowledge and skills to complete a wide range of tasks, Ability to understand relevant policies, processes and customers, Assist the department in meeting customer needs and reaching department expectations, Completes required training and understand how to use tools available to recall necessary information, Develop a full awareness of the way performance and actions affect members and Member Service Contact Center’s (MSCC) performance guidelines (call handling, first call resolution, complaint resolution compliance, member retention and return contact as warranted), Promotes, ensures and provides customer service to internal/eternal customers by demonstrating skills which are consistent with the organization’s philosophy of providing extraordinary customer relations and quality service,



Additional Job Details



• Office Location (if remote, please provide the Client Site address): SAN DIEGO

• Any Travel for this role?: YES

• Percentage of Travel? Minimal to GARFILED LOCATION, SAN DIEGO

• Parking Situation: EMPLOYEE PARKING

• Dress Code: BUSINESS PROFESSIONAL

• Required Level of Education: HIGH SCHOOL

• Preferred Level of Education: HIGH SCHOOL

• How many years of related experience are you looking for in your ideal candidate?: 2+ YEARS EXP

• Specific Systems Knowledge Required: WINDOWS, EPIC, CISCO

• Specific Systems Knowledge Preferred:

• Any Required Certifications?: NONE

• Expected Shift: M-F 8-5, SOMETIMES COULD START AT 630 AM (NOT AS OFTEN)

• Interview Process: ONSITE IN PERSON AT THE GARFIELD LOCATION, HM WILL CALL AND SET UP INTERVIEW.



• Top Three things Worker will be doing: PAYMENTS/CC HANDLING, SCHEDULING APPTS, MANAGAING TELECOMS

• Top Three Skillsets needed: PROFESSIONALISM, CUSTOMER SERVICE, DETAIL ORIENTED

• Is there a possibility of extension in assignment? POSSIBLE

• Is there a possibility of conversion to FTE? POSSIBLE

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**