Customer Service Representative

Job Title: Customer Service Representative 1

Location: Franklin TN 37067

Duration: 0-8 months (temp to hire)

Job Description:

· These PART TIME shifts would be 4 or 5 hours between 8 am and 1 pm. Contractors would need to attend training and those will be Full time hours for 4 weeks.

· Handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature.

· Answers questions and resolves issues based on phone calls/letters from members, providers, and brokers.

· Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and brokers.

· Explains member's policy benefits and coordination with Medicare

· Handle complaints (member/provider), via relevant recording/reporting system

· Ensures compliance with requirements of regional compliance authority/Medicare

· Determines applicable coverage provisions and verifies member plan eligibility

· Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. Performs financial data analysis as necessary.

· Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received

· Adheres to international privacy policies, practices and procedures

· The hours may vary. The call center is open from 7 am to 8 pm Central Time. These PART TIME shifts would 4 or 5 hours between 8 am and 1 pm.

· Handles customer service inquiries and problems via telephone, internet or written correspondence.

· Customer inquiries are of basic and routine nature.

· Potentially temp to hire* Typing test/computer skills testing REQUIRED

· CSR must be able to type 30-35 WPM. CSR's should have at least a year of Medicaid/ Medicare experience. CSR must have Call Center/ Contact Center background.

Kind Regards

Sumit Agarwal

732-902-2125