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Customer Care Rep

Direct Staffing Inc

Currently seeking a HR Coordinator / Executive Assistant in Wilmington, DE for one of our top Life Science clients for a 6+ month contract role. Kelly is a full service workforce solutions provider to 98% of the Fortune 100™ companies. We provide employment to more than 700,000 people annually and we deal with some of the largest and best companies both nationally and locally. Job Description Kelly Services has Customer Care Rep openings for our client, one of California's leading health insurance providers, at their location in Redding, CA. This is a temp to hire opportunity starting on May 30, 2017. Position pays $15.25 per hour. Job Description Responds to and resolves various customer inquiries via telephone and correspondence, and resolves claims problems within established production and quality standards. Answers incoming calls and written requests for information from members or providers promptly and accurately. Composes routine and non-routine correspondence to answer member inquiries that require a written response. Coordinates with other departments to ensure timely and appropriate responses. Expedites and resolves complex issues and makes claim adjustments. Educates others on the product, providing accurate information and updates to policies and procedures, improving overall customer satisfaction in the process. In the Lead role, deals with the most complex cases and issues as an individual contributor or may focus on mentoring and acting as a backup for supervisory responsibilities. May assist in scheduling and coordinating team activities. Typically provides input in hiring decisions and performance appraisals. Handles the highest level of escalated and unresolved calls. Schedule 8am – 4:30pm, Monday through Friday. Possible overtime after completing training. Years of experience A minimum of 6 months in a call center setting. Required education HS diploma/GED Top Must-Haves on Resume Successfully exceed Associate level responsibilities. In addition, successfully completes tier 2 training which covers some of the following: Handles escalated calls; may de‑escalate calls Responds to member benefits in writing Peer to peer coaching /training Performs inventory reduction, routine to mid-level, i.e. member inquiries, may adjust claims, responds to emails, etc. May expedite, research, and resolve complex issues Consistently performs established performance metrics, such as quality, production; average handling time AHT and calls per hour CPH Works with minimal supervision Education/Requirements Successfully meets requirements of nesting audit Experience Have strong customer service experience especially phones and a proven ability to meet performance standards Strong organizational skills Ability to work independently Ability to mentor others Ability to interpret the various health plans and any documentation associated with them Minimum Experience Level Typically 1-2 years of related experience successfully demonstrating increasingly higher level work #J-18808-Ljbffr

Vacancy posted 2 days ago
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