Demo

Customer Service Representative

Medix
Pensacola, FL Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 6/2/2025

Remote Customer Service Represenatative

This role focuses on providing exceptional customer service in a call center environment, primarily handling inbound inquiries from policyholders, beneficiaries, providers, and agents regarding insurance policies. You'll be responsible for addressing questions related to the company's long-term care services, which may include explaining benefits, assisting with claims, and offering general policy information. Success in this role requires strong communication and problem-solving skills to ensure a seamless and supportive customer experience.

Overview :

  • Provides information and assistance to providers, agents, policyholders, and others by responding to telephone inquiries from third third-party administrator clients to include Medicare Supplement and Life Policies.
  • Accurately provide information regarding various insurance questions (i.e., verification of benefits, claims status) by accessing and updating software system data within company response standards.
  • Provides service and follow-up on insurance questions by researching company records to obtain information requested by customer, performing routine transactions, and retrieving results from an online terminal.
  • Maintains a working knowledge base of all company products and services.
  • Complying with company regulations regarding Privacy, confidentiality, and private health information.
  • Providing written and oral communication to policyholders, agents, providers, and others

regarding inquiry status and resolution.

  • Initiate and complete Call Tracks, checklists, and supportive clerical responsibilities as necessary.
  • Ability and Flexibility to work various shifts as required.
  • Able to type speed of 30 wpm with 95% accuracy rate
  • Daily Call Metric - 60 a day (busier day)
  • Auto answer - handle time varies by engagement due to complexity of the call
  • 5-6 minutes, 7-8, minutes, 6-7 minutes

    Must Have Skills / Qualifications :

  • Experience with Long Term Care Insurance preferable in a Call Center setting.
  • 2 years related call center and customer service experience.
  • Accurately entering data via Windows-based environment.
  • Intermediate computer skills.
  • Ability to read and comprehend simple instructions, short correspondence, and memos. Ability
  • to write simple correspondence. Ability to effectively present information in one-on-one and
  • small group situations to customers, clients, and other employees of the organization.

  • Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers,
  • common fractions, and decimals. Ability to compute rates, ratio, and percent and to draw and

    interpret bar graphs.

  • Ability to apply common sense understanding to carry out detailed but uninvolved written or
  • oral instructions.

  • Ability to deal with problems involving a few concrete variables in standardized situations.
  • Schedule :

  • 2 shift opptions :
  • 10 : 15am - 7 : 00pm CST

  • 9 : 15am - 6 : 00pm CST
  • For California Applicants :

    We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

    This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

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