Client/Customer Support Rep
Siho Insurance
Job Description SIHO’s Member Services Representatives assist in creating an excellent experience for SIHO’s members and their providers. This position mainly responds to telephonic inquiries but may also be responsible for responding to written inquiries and assisting walk-in members. Assist members with navigating their healthcare needs by explaining benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
- Comply with regulatory requirements while addressing customer needs which may include complex benefit questions.
- Record details of inquiries, comments, complaints, and transactions.
- Escalate unresolved and pending customer grievances.
- Support teammates as business needs require to ensure the organization is meeting the needs of our members and providers
- Work with partners in other departments, or to Doctors’ offices to help resolve a customer concern.
- Support your teammates as business needs require to ensure we are meeting the needs of our customers.
- Possess a passion for customer service
General knowledge and understanding of health insurance
This job calls for strong emotional intelligence to proactively provide solutions, ensuring the member's health and safety
Ability to maintain attendance to support required quality and quantity of work
Commitment to support and maintain confidentiality in conformance to HIPAA guidelines
High School Diploma and 2 years of Customer service experience
Working experience of Microsoft Office or other comparable software
*We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. If you would like more information about how your data is processed, please contact us.
Vacancy posted more than 2 months ago
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