Customer Service Representative I
Western Growers Health
- Customer Service Representative IFully Remote • Irvine Office - Irvine, CA 92618## OverviewSalary Range$35,288.33 - $45,874.31 SalaryPosition TypeFull TimeTravel PercentageNoneCategoryCustomer Service## Description# Job Description SummaryUnder the direction of the Supervisor, Customer Service, this position is responsible for meeting KPIs while responding to general customer inquiries regarding insurance benefits, provider contracts, reimbursement programs, eligibility, and claims from members, providers and employers in a confidential, professional, and ethical manner. The incumbent will also research and analyze data to address standard operational challenges and issues within the Customer Service department.# Duties And Responsibilities*Customer Advocate** Respond to general customer questions via telephone, e-mail, and written correspondence regarding insurance benefits, provider contracts, reimbursement programs, eligibility, and claims in a confidential, professional, and ethical manner.* Analyze problems and provide information/solutions.* Research and resolve aged Customer Service open calls within company standards.* Operate in the Health Care Processing System (HCPS), Imaging systems, and all systems necessary to obtain and extract information with proficiency and skills.* Develop and maintain positive customer relations and coordinate with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.* Be accountable when you uncover an issue or trend by helping to assess and report its impact, making improvements, and course-correcting along the way.* Follow quality guidelines to provide exceptional customer support and ensure scores meet or exceed expectations.*Call Center Support** Accurately document database activity and customer interactions for tracking and analysis to identify trends and address operational and service issues.* Research and analyze data to address standard operational challenges and customer service issues.* Provide customers with requested information, including difficult and upset customers.* Meet or exceed all department and performance service metrics.* Communicate with the appropriate departments and identify service issues.* Identify inefficiencies within the established processes and suggest possible solutions to save time, reduce risk, and/or reduce expenses.*Other** Maintain regular attendance per employee handbook guidelines.* Utilize all capabilities to satisfy one mission — to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, be self-accountable, create a positive impact, and be diligent in delivering results.* Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet.* Maintain a HIPAA-compliant workstation and utilize appropriate security techniques to ensure HIPAA-required protection of all confidential/protected client data.* Maintain and service safety equipment (e.g., smoke detector, fire extinguisher, first aid kit).* All other duties as assigned.**Physical demands/Work Environment**The physical demands and work environment described here represent those that an employee must meet to successfully perform this job’s essential functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate.## Qualifications# Qualifications* High School diploma or GED and/or one (1) to three (3) years of experience in customer service within a call center environment, preferred.* Knowledge of Health Benefits and eligibility preferred.* Good communication and telephone skills with a very clear and concise speaking voice.* Proficient written communication skills with the ability to learn new software and navigate multiple systems at once.* Moderate keyboarding skills including proficiency with database management.* Proficient organizational and time management skills.* Adaptive in constantly changing environment.* Skilled in researching and resolving standard technical issues or client problems as they arise.* Good judgement, negotiation abilities and capacity to work with minimal supervision.* Capable to learn and understand company’s end-user software programs.* Ability to meet or exceed departmental service metrics.* Fluent in English (oral and written) required. Bilingual in Spanish preferred.* Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.* Home router with wired Ethernet (wireless connections and hotspots are not permitted).* A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)* A functioning smoke detector, fire extinguisher, and first aid kit on site.
- J-18808-Ljbffr Western Growers Health
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Customer Service Representative I in Irvine, CA vacancy
- ...About the Role: Our client is looking for a Customer Support Specialist to join their team... ...Qualifications: 1–3+ years of customer service or support experience Strong communication... .... You further agree that you have represented information about yourself accurately and...SuggestedFor contractorsWork at officeLocal area
- ...Center Agent positions that will be responsible to: Answer calls in an efficient, courteous and accurate manner, while assessing customer needs and offering solutions; Demonstrate the desire to make customer's travel not only superior but memorable; Quickly identify and...SuggestedCurrently hiring
$750 per week
...insights. We help connect everyday people with flexible remote market research opportunities that influence real products, services, and customer experiences.Role Overview:We are welcoming participants from all backgrounds, including anyone looking for administrative assistant...SuggestedPart timeCasual workRemote workFlexible hours- ...integrity, mutual respect, student learning, service, responsiveness, innovation, diversity,... ...outbound dials and provide outstanding customer service to prospective students, fellow... ...as a Call Center, Customer Service Representative, receptionist, or office related...SuggestedPart timeWork at office
- ...Customer Service Representative PositionAs a Customer Service Representative for our team, you'll be the first person our customers come into contact with. On a typical day, you'll answer questions, resolve complaints, and process orders and requests.To succeed in this...SuggestedFlexible hours
$18.25 - $19.25 per hour
...safely in a fast-paced environment while maintaining 100% total customer focus.Job Expectations:Maintain courteous, professional contact... ...of KKC productsEssential Functions:Provide exceptional guest service. Be courteous, always greet and thank all customers while making...Weekly payFull timePart timeFor contractorsLocal areaImmediate startShift workNight shiftDay shiftAfternoon shiftEarly shift- ...Customer Service Representative IWSP is currently initiating a search for a Customer Service Representative I. This position is based out of Costa Mesa, CA.The Customer Service Representative I is responsible for handling customer inquiries into the Service Center. This...Temporary workWork at officeLocal areaFlexible hoursShift work
$19 - $20 per hour
...Customer Service RepresentativeAre you a people person? Do you love helping others? U-Haul is in search of friendly, motivated people for the position of Customer Service Representative. As a Customer Service Representative, you will work as part of a supportive team to...Start working todayLocal area$25 - $30 per hour
...Customer Service RepresentativeAre you ready to accelerate your potential and make a real difference within life sciences, diagnostics... ...making an impact in the lives of others.The Customer Service Representative is responsible for serving as the primary point of contact...Hourly payWork at office$28 - $29 per hour
...Salary: USD28 - USD29 per hour Leading Property Management organization is in need of a Temporary Customer Service Representative for up to 4 months. This is a HYBRID role in Tustin, Ca. The temp schedule is: hybrid schedule (Mondays and Fridays WFH, Tuesdays, Wednesday...Hourly payTemporary workWork at officeWork from homeMonday to Friday$1,000 per month
...Customer Service RepresentativeWith $1,000 in his pocket, Allen Lund made the brave decision to start his own transportation brokerage... ...Service RepresentativeWe are looking for a Customer Service Representative to join our team! In this role, you act as one of the Logistics...Contract workWork at office- ...Join our growing team as a British Airways Customer Service Representative to work collaboratively across teams and departments, gain knowledge of company offerings to better serve clients, and maintain accurate records and documentation. Other duties include coordinate...Weekly payFlexible hoursShift work
$25 - $30 per hour
...Customer Service RepresentativeBring more to life.Are you ready to accelerate your potential and make a real difference within life sciences... ...an impact in the lives of others.The Customer Service Representative is responsible for serving as the primary point of contact...Hourly payWork at office- As a Customer Service Representative, you will be responsible for providing exceptional service and support to customers, including: respond to customer inquiries via phone & in person. assist customers with finding products. provide quotes and take orders. troubleshoot...
- ...Customer Service Representative Position As a Customer Service Representative for our team, you'll be the first person our customers come into contact with. On a typical day, you'll answer questions, resolve complaints, and process orders and requests. To succeed...Flexible hours
- ...Outlook, Excel) Computer Troubleshooting Comfort and ability with CRM systems Qualifications Previous experience in sales, customer service, or other related fields. Strong negotiation skills. Ability to build rapport with clients. Excellent written and verbal communication...Work at officeFlexible hours
$25 - $28 per hour
...with your recruiter to learn more. Base pay range $25.00/hr - $28.00/hr Our client is seeking a dependable and customer-focused Customer Service Representative to support daily operations and deliver a high level of service to customers. This role requires strong...Work at officeLocal area- About the job Customer Service Representative Bridgewater Consulting Group is a leading provider of strategic consulting services, dedicated to helping businesses optimize their operations, enhance customer experiences, and achieve measurable growth. With a commitment to...
$16.9 per hour
...Irvine, California 92606 Shift Availability Evenings (Weekdays + Weekend Availability Required) Time Type Full time Customer Service Representative We want you to join our team as a Customer Service Representative. If you have the desire to be challenged, work in a fast...Weekly payFull timeTemporary workLocal areaFlexible hoursShift workWeekend workAfternoon shiftWeekday work$23 per hour
...growing organization that provides technical products and services to a diverse customer base. They are known for their commitment to service... ...this is the role for you! Job Title: Customer Service Representative Location: Irvine, CA Type: Contract to hire Pay: $23/...Contract workWork at officeLocal area- ...with clients and provide solutions to ensure their vision is realized and enhance their buying experience. Job Overview Customer Service Representatives are responsible for assisting all customer segments including retail, contractor, fabricator and wholesale. You are...Contract workFor contractorsFlexible hours
$20 - $25 per hour
Customer Service Representatives Irvine, CA, US 6 days ago Requisition ID: 1067 Salary Range: $20.00 To $25.00 Hourly Qualifications Education or experience equivalent to a high school diploma is required. At least three years related medical customer service experience...Hourly payNight shift- Precision Services Group (PSG) - Fullerton, CA Full-Time | In-Office Precision Services Group is looking for a Customer Service Representative to join our team in Fullerton. We are looking for someone who is organized, detail-oriented, responsive, and enjoys working...Full timeWork at office
$18 per hour
...Automotive Service Manager At Midas we are dedicated to providing quality services to customer vehicles in the areas of inspection, diagnosis and repair utilizing the expertise attained through ASE Certifications and/or years of automotive repair experience. We are...Hourly payFlexible hoursAfternoon shift- Vaco is seeking a Customer Service Representative for a client located in Irvine, CA. The position is full-time onsite. Key Responsibilities: Support Regional Account Managers and maintain positive communication with customers, wholesalers, sales reps, and managers. Process...Full time
- ...Professional Development Job Stability in a growing industry Job Description We are seeking a professional and personable Customer Service Representative to join our team. In this role, you will be responsible for ensuring that each customer has a positive experience when...Work at office
- In-Office Mortgage Sales Representative - Loan Officer Career Track This is not a traditional call center job. It’s the first step toward... ...Recruiting Insurance Real estate Appointment setting Customer service with a strong sales component Cold calling or high-volume...Work at officeImmediate start
- Join Our Team as a Customer Service Manager at View Cleaners Established in 1976, View Cleaners is a family‑owned, custom dry cleaning... ...experience. By inspiring and leading a team of customer service representatives, you'll ensure that each visit to View Cleaners leaves a...Local area
- Job Description: We are seeking a detail-oriented and customer-focused Customer Service Representative to join our client's team in Irvine, CA . In this role, you will be responsible for processing customer orders, preparing shipping labels, answering phone calls, and...Work at office
$50k - $75k
Overview Great Park Insurance Services Licensed Insurance Representative Great Park Insurance is seeking an experienced Customer Service Representative (CSR) to join our office. We will rely on you for delivering service in a courteous, professional, and efficient manner...Full timeWork at officeMonday to FridayShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Customer Service Representative I. Be the first to apply!
Related searches
- customer service administrator Irvine, CA
- food service sales representative Irvine, CA
- participant services representative Irvine, CA
- logistics customer service representative Irvine, CA
- client experience specialist Irvine, CA
- client service officer Irvine, CA
- licensed insurance customer service representative Irvine, CA
- customer sales representative Irvine, CA
- customer service officer Irvine, CA
- card services representative Irvine, CA


