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Regular or Temporary:
Regular
Language Fluency: English (Required)
Work Shift:
1st Shift (United States of America)
Please review the following job description:
Ensure a high level of customer satisfaction and exceed the expectation of our customers by providing quality information and superior customer service for a defined scope of issues and post enrollment inquires.
Our employees work a hybrid schedule. On the days we are not in the office, our teams are able to collaborate using video and screen sharing technology which means you'll feel like you’re part of the team while also enjoying the convenience of working from home.
At CRC Benefits, an industry leading provider of benefits services, we believe that it takes great employees to build a resilient organization. Our culture is based on corporate values that focus on inclusion, trust, collaboration, and innovation to help us build a bright future. As a result of listening to our employees, CRC Benefits recently earned a Top Workplaces USA award three years in a row based solely on employee feedback and insight! If you want to work for a company where employees are valued and growth is encouraged, CRC Benefits could be the place.
KEY RESPONSIBILITIES
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
• Provides quality information and accurate solutions for a defined scope of customer issues via telephone and email correspondence.
• Maintains 100% of available phone time and/or electronic service goals every day, in accordance with current standards and as directed by management.
• Determines when customer issues need to be escalated and uses appropriate channels to timely resolution.
• Provides quality customer service for issues regarding benefit administration group changes, employee enrollment changes, ID card status, and effective date inquires.
• Provides information to brokers or agents on ID, password and address change requests.
• Keeps up to date on all Company’s policies and promotional offerings.
• Actively participates in regular team meetings, providing input to contribute to the team’s overall success in achieving customer satisfaction.
EDUCATION AND EXPERIENCE
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• High school diploma or GED equivalent
• 2+ years of related experience in Customer Service environment in the healthcare/insurance field.
• Working knowledge of customer database tools such as HCM solutions.
• Working knowledge of medical conditions/terminology and insurance products.
• Prior experience dealing with multiple customer service issues.
CERTIFICATIONS, LICENSES, REGISTRATIONS
• None
FUNCTIONAL SKILLS
• Possess a good understanding of HIPAA laws and guidelines.
• Knowledge of Microsoft Office, specifically Excel, Word, and Outlook Exchange; proficient with various web browsers.
• Communicate effectively with all levels of internal and external personnel, both verbally and in writing.
• Ability to read, analyze and interpret Explanation of Benefits (EOB).
• Read, comprehend, and interpret underwriting procedures, requirements, regulations, and contracts.
• Maintain complete confidentiality of information.
• Determine when problems should be escalated.
• Work in and contribute to a positive team environment.
• Complete tasks on time while managing multiple tasks simultaneously.
General Description of Available Benefits for Eligible Employees of CRC Group: At CRC Group, we're committed to supporting every aspect of teammates' well-being – physical, emotional, financial, social, and professional. Our best-in-class benefits program is designed to care for the whole you, offering a wide range of coverage and support. Eligible full-time teammates enjoy access to medical, dental, vision, life, disability, and AD&D insurance; tax-advantaged savings accounts; and a 401(k) plan with company match. CRC Group also offers generous paid time off programs, including company holidays, vacation and sick days, new parent leave, and more. Eligible positions may also qualify for restricted stock units and/or a deferred compensation plan.
CRC Group supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC Group is a Drug Free Workplace.
EEO is the LawPay Transparency Nondiscrimination ProvisionE-Verify
