Pharmacy Resolution Specialist
Customer service advocate job at Centene
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Candidates for this position must be able to work 9am - 5:30pm EST.
Position Purpose: The Pharmacy Resolution Specialist receives and responds to calls from members, provider/physician's offices, and pharmacies. This role makes outbound calls and enters pharmacy overrides into systems based on approved guidelines and approvals provided from clinical pharmacists.
Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests
Offers options including submission of a prior authorization request
Thoroughly researches issues and takes appropriate action to resolve them using the appropriate reference material within turnaround time requirements and quality standards
Logs, tracks, resolves, and responds to all assigned inquiries and complaints while meeting all regulatory, CMS, and Centene Corporate guidelines in which special care is required to enhance Centene relationships, while meeting and exceeding all performance standards
Maintains expert knowledge on all pharmacy benefits and formularies, including CMS regulations as they pertain to this position
Responsible for knowing and interpreting pharmacy and medical benefits
Answers and conducts inbound and outbound calls with members and provider offices to provide resolution to claims (i.e.: additional information requests and medication determination updates)
Actively involved in the initiation and providing status for prior authorization/coverage determination, appeal / redetermination phone calls
Responsible for ensuring outstanding attention to detail
Identify root cause issues to ensure enterprise solutions and communicate findings as needed to ensure first call resolution
Assists with special projects as assigned
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: High School Diploma / GED and 1 year of Job Specific call center/customer service.Pay Range: $15.87 - $27.25 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Auto-ApplyVendor Relations Specialist
Boca Raton, FL jobs
Nation Safe Drivers has been in business for 60 years and has a stellar reputation as an industry leader in the Automotive Industry and one of the finest places to work in South Florida. Our Corporate Headquarters is located in the heart of Boca Raton's business park district. Employees are valued at NSD and enjoy a fun corporate culture, a supportive leadership team and excellent benefits.
Position Summary:
Vendor Support Representatives are responsible to ensure that all support functions regarding our provider networks are handled in a timely manner. They will coordinate, develop, and maintain all facets of damage related issues and administration. This position will be an integral, logistical, and administrative support role for the Service Provider Network.
Duties and Responsibilities:
Excellent telephone, oral and written communication skills.
Responsible for all inbound calls from the provider support line.
Organizational skills, attention to detail and the ability to manage time wisely.
Assist with vendor-payable issues and research as needed.
Responsible for sending out provider mail (contracts, applications, updates, and changes)
Investigate, evaluate, and settle damage claims by mediating between both claimants and service providers.
Processing and reconciling service provider and member disputes, maintaining
documentation of credit card disputes and monitor transactions for possible
fraudulent activity.
Review and process purchase orders and supplemental costs submitted by our
provider network.
Manage interaction with insurance carriers and get updated insurance information
to meet compliance standards.
Ensure contracts, vendor information, damage administration, insurance updates
and incoming calls are performed in a timely manner, meeting compliance
requirement.
Ensure Certificate of Insurances are updated along with W9 tax forms for all
providers.
Modifies existing vendor information to expedite the payment process
Maintain a database for Out of Network Providers services for 1099 tax purposes.
Qualifications:
High school diploma or GED
1+ year of relevant work experience with proven success in direct customer service, and/or administrative work
Strong work ethic, dependable, and reliable
High energy, self-driven, problem solving, and positive attitude with a strong desire to succeed
Excellent time management, resource organization and priority establishment skills, and ability to multi-task in a fast-paced environment
Strong knowledge of Microsoft Word, Microsoft Excel, Outlook, Adobe, electronic file system and website navigation
Must be very proficient with inbound and outbound calls
Provide support to the Regional Field Managers and their regions
**NSD maintains a drug-free workplace and performs pre-employment substance abuse testing.
Nation Safe Drivers provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, pregnancy, marital status, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Customer Service Specialist
Los Angeles, CA jobs
We are seeking a Workplace Experience team member to provide exceptional service and operational support across multiple areas of the office. This role plays a central part in creating a seamless and welcoming environment for employees and guests alike. Responsibilities span from front desk and meeting space coordination to travel support and urgent communication needs.
What You'll Do
Create a welcoming and polished experience for employees, clients, and guests.
Deliver responsive, high-touch customer service in person, by phone, and through digital channels.
Collaborate with teammates to share responsibilities and maintain seamless operations.
Partner with other departments to direct inquiries and resolve issues efficiently.
Serve as a local resource for workplace requests, ensuring smooth handling of needs ranging from logistics to event coordination.
Safeguard sensitive and confidential information with the highest level of discretion.
What We're Looking For
Strong verbal and written communication skills.
A customer-first mindset, with the ability to handle requests thoughtfully and professionally.
Initiative and sound judgment to manage situations independently when needed.
Your Background
High school diploma or equivalent required.
3-5 years of experience in a similar environment (hospitality, reception, call center, facilities, or administrative support).
Prior exposure to professional services or corporate environments a plus.
The Phoenix Group Advisors is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination and harassment of any kind based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. We strive to attract talented individuals from all backgrounds and provide equal employment opportunities to all employees and applicants for employment.
Senior Customer Service Representative
Melbourne, FL jobs
The Senior Customer Service Representative supports the daily operations of the agency by providing advanced customer service, policy support, and account management. This role acts as a primary point of contact for clients, resolves complex inquiries, assists with policy changes, and ensures exceptional service delivery while maintaining compliance with state and carrier requirements.
Client Service & Support
Serve as the main contact for policyholders, delivering high-quality service via phone, email, and in-person interactions.
Handle complex customer inquiries related to coverage, billing, claims, renewals, and endorsements.
Assist clients with policy changes, cancellations, reinstatements, and general account updates.
Review client accounts to ensure accuracy and identify gaps in coverage or service needs.
Policy Administration
Process endorsements, certificates of insurance, evidence of insurance, bind requests, and other policy documentation.
Support new business and renewal processes by gathering required information and preparing applications.
Verify policy accuracy, rating information, and carrier guidelines prior to final processing.
Coordinate with insurance carriers on underwriting requirements, coverage questions, and policy adjustments.
Claims Support
Guide clients through the claims filing process and provide follow-up as needed.
Act as a liaison between carriers, adjusters, and policyholders to ensure timely updates.
Team & Operational Support
Assist in workflow improvement, procedure updates, and best-practice implementation.
Maintain compliance with all state regulations, company policies, and carrier requirements.
Customer Experience & Retention
Build strong client relationships through responsive service and proactive communication.
Identify opportunities for cross-selling or up-selling appropriate P&C products (within 4-40 license permissions).
Support retention efforts by reviewing renewal options and assisting in remarketing when needed.
Required Qualifications
Valid Florida 4-40 Customer Representative License.
3-5+ years of customer service or account management experience in a Property & Casualty insurance environment.
Strong knowledge of personal lines and/or commercial lines insurance products, coverage forms, and terminology.
Proficiency with insurance management systems (e.g., Applied Epic, AMS360, QQ, Hawksoft) preferred.
Excellent communication, problem-solving, and organizational skills.
Ability to work independently, prioritize tasks, and manage high-volume workloads.
Customer Service Representative
Farmingdale, NY jobs
Network Adjusters is seeking a friendly, organized, and proactive individual to join our customer service team in our New York office in Farmingdale. The ideal candidate has excellent communication and customer service skills. He/she has an excellent understanding of administrative and clerical procedures/systems and the ability to multitask in a paperless environment. Your primary role will be to enter claims, address inquiries, resolve issues, and ensure customer satisfaction through effective communication and problem-solving skills.
COMPANY DESCRIPTION:
Network Adjusters, Inc. has been serving the insurance industry for almost seven decades and provides third-party claims administration and independent adjusting services to its clients. We offer flexible, cost-effective products tailored to the specific needs of our clients. Our services focus on achieving early claims resolution while maximizing savings on expenses and loss pay out. The company is located in Farmingdale, NY.
RESPONIBILITIES:
Communicate with clients, insureds, claimants and providers via phone and email
Provide knowledgeable answers to questions about claims status and processes
Work with internal departments to meet clients needs
Data entry in various platforms, including claims intake, claims processing, preparing files for audits
Provide claims and administrative support to Adjusters including but not limited to letters, forms, closings, filing of ISO, CIB and NICB
Perform DMV, Locate, Asset and Police Report searches
Faxing and copying, as needed
QUALIFICATIONS:
At least 1 - 3 years' of relevant work experience
Excellent phone etiquette and excellent verbal, written, and interpersonal skills
Working knowledge of Microsoft Office Suite and other office equipment
Associate's degree or equivalent experience preferred
Ability to learn new systems and adapt
Clerical skills including data entry, record keeping, and confidentiality
Highly organized, detail-oriented, able to multitask effectively, and work independently
Experience working in an insurance or related business would be beneficial but is not required.
PHYSICAL REQUIREMENTS/ADA:
This position requires the ability to work in an office environment, including using a computer, attending meetings, working as part of a team, and the ability to communicate with team members and others. Regular attendance also is a requirement of the position as this role requires in-office presence. (This role is located in Farmingdale, NY)
BENEFITS:
• Training/Development and Growth opportunities
• 401(k) with company match
• Comprehensive health plans
• Strong work/family and employee assistance programs
• Flexible work hours
• Comprehensive health plans including dental and vision coverage
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off / company holidays
• Referral program
Starting pay for this position: $25.00 per hour
Senior Customer Service Representative
Boca Raton, FL jobs
The Senior Customer Service Representative supports the daily operations of the agency by providing advanced customer service, policy support, and account management. This role acts as a primary point of contact for clients, resolves complex inquiries, assists with policy changes, and ensures exceptional service delivery while maintaining compliance with state and carrier requirements.
Client Service & Support
Serve as the main contact for policyholders, delivering high-quality service via phone, email, and in-person interactions.
Handle complex customer inquiries related to coverage, billing, claims, renewals, and endorsements.
Assist clients with policy changes, cancellations, reinstatements, and general account updates.
Review client accounts to ensure accuracy and identify gaps in coverage or service needs.
Policy Administration
Process endorsements, certificates of insurance, evidence of insurance, bind requests, and other policy documentation.
Support new business and renewal processes by gathering required information and preparing applications.
Verify policy accuracy, rating information, and carrier guidelines prior to final processing.
Coordinate with insurance carriers on underwriting requirements, coverage questions, and policy adjustments.
Claims Support
Guide clients through the claims filing process and provide follow-up as needed.
Act as a liaison between carriers, adjusters, and policyholders to ensure timely updates.
Team & Operational Support
Provide guidance and support to junior CSRs and team members.
Assist in workflow improvement, procedure updates, and best-practice implementation.
Maintain compliance with all state regulations, company policies, and carrier requirements.
Customer Experience & Retention
Build strong client relationships through responsive service and proactive communication.
Identify opportunities for cross-selling or up-selling appropriate P&C products (within 4-40 license permissions).
Support retention efforts by reviewing renewal options and assisting in remarketing when needed.
Required Qualifications
Valid Florida 4-40 Customer Representative License.
3-5+ years of customer service or account management experience in a Property & Casualty insurance environment.
Strong knowledge of personal lines and/or commercial lines insurance products, coverage forms, and terminology.
Proficiency with insurance management systems (e.g., Applied Epic, AMS360, QQ, Hawksoft) preferred.
Excellent communication, problem-solving, and organizational skills.
Ability to work independently, prioritize tasks, and manage high-volume workloads.
PHS Customer Service Representative
Miami, FL jobs
BMI Companies, part of BMI Financial Group, Inc has nearly five decades of experience providing insurance and solutions for families worldwide. Specializing in high-quality Life Insurance, Health Insurance with global coverage, and Travel Assistance Plans, BMI is committed to innovating insurance products for the international community.
About the Role: The PHS Customer Service Representative will be responsible for providing high-quality service and support to our life insurance policyholders. He/she will be handling inquiries, processing policy change service requests, resolving issues, and delivering accurate information efficiently and professionally.
The PHS Customer Service Representative must be able to work in a high performance, customer-focused team environment, helping to maintain a positive customer experience while ensuring compliance with company standards and regulatory requirements.
This is a 100% IN- OFFICE opportunity - Applying candidates MUST live in Miami, FL and be fluent in Spanish and English.
Responsibilities:
Respond to incoming emails, calls, and inquiries from policyholders, agents, and other stakeholders.
Provide clear and accurate information regarding life plans, including billing, coverage details, and policy changes.
Process policy service requests such as beneficiary updates, payment method changes, address changes, policy assignments, in-force illustrations, benefit payments, and other policy changes.
Document all customer interactions and actions taken in the customer relationship management (CRM) system
Assist with outbound calls or follow-ups as required.
Provide limited customer service support to company local office affiliates.
Assist with special projects as assigned.
Contribute to team goals for service, accuracy, and customer satisfaction.
Qualifications:
Bilingual- Excellent written and verbal communication in Spanish and English a must.
Associate or Bachelor's Business Degree Preferred
Experience in customer service (minimum two years) preferably in the insurance or financial services sector.
Previous customer service experience with LATAM customers a PLUS
Knowledge of life insurance products and terminology.
Customer focused mindset with empathy and patience.
Ability to multi-task and manage time effectively.
Attention to detail and high level of accuracy in data entry and documentation.
Familiarity with CRM systems and Microsoft Office software
Committed team player who actively supports colleagues and contributes to team goals.
Client Services Representative
Vineland, NJ jobs
Client Services Representative - Personal Insurance
📍
Vineland, NJ (Hybrid)
🕒
Full-Time | Non-Exempt
Are you passionate about delivering exceptional customer service and supporting clients when they need it most?
Our Personal Insurance team is looking for a detail-oriented Client Services Representative to help ensure our clients receive timely, accurate, and professional support every day.
What You'll Do:
As a key member of our Personal Insurance Department, you'll support our Account Management team by:
✔ Answering and directing incoming client calls
✔ Assisting Spanish-speaking clients with their service needs
✔ Processing requests for evidence of insurance
✔ Handling urgent mortgage company requests
✔ Taking client payments over the phone
✔ Maintaining accurate data in our Agency Management System
✔ Following all departmental procedures and compliance requirements
✔ Assisting with special projects as assigned by the Department Manager
What We're Looking For:
To be successful in this role, you should bring:
🔹 A New Jersey Property & Casualty Producer License (Required)
🔹 Proficiency in Microsoft Office Suite (Required)
🔹 Bilingual fluency in English and Spanish (Required)
🔹 Strong communication skills-clear, concise, and professional
🔹 Ability to navigate carrier websites and databases
🔹 Solid problem-solving skills and attention to detail
🔹 Commitment to following agency systems, procedures, and compliance regulations
Why You'll Love Working With Us:
💼 Supportive, team-oriented environment
📚 Opportunities to grow your insurance knowledge
🏢 Stable and reputable agency with long-term client relationships
How to Apply:
If you're ready to make an impact and grow your insurance career, we'd love to hear from you!
👉 Apply directly on LinkedIn or send your resume to: *******************
Shara D. Richardson - Talent Acquisition Specialist
Customer Service Representative
Los Angeles, CA jobs
We are seeking a Workplace Experience team member to provide exceptional service and operational support across multiple areas of the office. This role plays a central part in creating a seamless and welcoming environment for employees and guests alike. Responsibilities span from front desk and meeting space coordination to travel support and urgent communication needs.
Responsibilities
Create a welcoming and polished experience for employees, clients, and guests.
Deliver responsive, high-touch customer service in person, by phone, and through digital channels.
Collaborate with teammates to share responsibilities and maintain seamless operations.
Partner with other departments to direct inquiries and resolve issues efficiently.
Serve as a local resource for workplace requests, ensuring smooth handling of needs ranging from logistics to event coordination.
Safeguard sensitive and confidential information with the highest level of discretion.
Qualifications
At least 3+ years of relevant work experience
Excellent phone etiquette and excellent verbal, written, and interpersonal skills
Ability to multi-task, organize, and prioritize work
A customer-first mindset, with the ability to handle requests thoughtfully and professionally.
Initiative and sound judgment to manage situations independently when needed.
Customer Service Representative
New York, NY jobs
We are seeking a Workplace Experience team member to provide exceptional service and operational support across multiple areas of the office. This role plays a central part in creating a seamless and welcoming environment for employees and guests alike. Responsibilities span from front desk and meeting space coordination to travel support and urgent communication needs.
What You'll Do
Create a welcoming and polished experience for employees, clients, and guests.
Deliver responsive, high-touch customer service in person, by phone, and through digital channels.
Collaborate with teammates to share responsibilities and maintain seamless operations.
Partner with other departments to direct inquiries and resolve issues efficiently.
Serve as a local resource for workplace requests, ensuring smooth handling of needs ranging from logistics to event coordination.
Safeguard sensitive and confidential information with the highest level of discretion.
What We're Looking For
Strong verbal and written communication skills.
A customer-first mindset, with the ability to handle requests thoughtfully and professionally.
Initiative and sound judgment to manage situations independently when needed.
Your Background
High school diploma or equivalent required.
3-5 years of experience in a similar environment (hospitality, reception, call center, facilities, or administrative support).
Prior exposure to professional services or corporate environments a plus.
The Phoenix Group Advisors is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination and harassment of any kind based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. We strive to attract talented individuals from all backgrounds and provide equal employment opportunities to all employees and applicants for employment.
Customer Service Representative
Fort Washington, PA jobs
Are you ready to embark on a rewarding career journey? At Plymouth Rock, we pride ourselves on fostering a dynamic and supportive service center environment where professionalism and teamwork are highly valued. If you're the kind of person who enjoys solving problems and helping others when they need it, this could be a great opportunity to start your career at Plymouth Rock!
We're currently seeking passionate individuals to join our team as Customer Service Representatives, where you'll play a pivotal role in providing exceptional service to our valued customers, agents, and partners. As a Customer Service Representative, you'll be at the forefront of our customer interactions, handling inbound calls with efficiency and professionalism.
RESPONSIBILITIES
• Answer inquiries via phone, email and texting regarding policies, coverages, and premiums with confidence and accuracy.
• Ensure first call resolution, making the customer experience as seamless as possible.
• Develop and maintain comprehensive product knowledge across all three lines of insurance (Auto, Homeowner, and Umbrella).
• Cultivate strong relationships with our agents and partners, contributing to our collaborative work environment.
• Utilize your analytical and decision-making skills to address policy changes and corrections effectively.
• Exceed customer and agent expectations by delivering top-notch service through positive interactions and extensive product expertise.
• The ability to work a flexible schedule is a critical aspect of this position. Hours for this position are shifts between: 8:00am-7:00pm Monday - Friday and 10:00am-3:00pm every third Saturday.
QUALIFICATIONS
• Strong interpersonal, communication, and organizational skills.
• Analytical mindset with good decision-making abilities.
• Proficiency in computer skills and data entry.
• High motivation to take ownership and follow up on tasks.
• Flexibility to adapt to a fast-paced, changing environment.
• Ability to work weekdays and rotational Saturdays.
• High school diploma required, college degree is a plus!
• Spanish language proficiency is a plus!
PERKS & BENEFITS
• 4 weeks accrued paid time off + 9 paid national holidays per year
• Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
• Annual 401(k) Employer Contribution
• Free onsite gym at our Woodbridge Location
• Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
• Robust health and wellness program and fitness reimbursements
• Various Paid Family leave options including Paid Parental Leave
• Tuition Reimbursement
ABOUT THE COMPANY
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
Customer Service Representative
Jacksonville, FL jobs
Brightway Insurance is a leading property and casualty insurance distribution company with over 300 franchise locations in 35 states. We pride ourselves on delivering exceptional customer experiences and empowering our agents with innovative tools and support. We are currently seeking Customer Service Representative (CSR) to join our team
Position Summary:
As a CSR, you will play a key role in ensuring our clients receive excellent service and support. You'll assist both new and existing customers by answering questions, processing changes to policies, handling billing inquiries, and supporting sales efforts when needed.
Responsibilities:
Provide exceptional customer service to policyholders via phone, email, and in-person interactions
Assist clients with policy changes, billing inquiries, claims, and general insurance questions
Educate clients on available coverages, products, and discounts
Maintain accurate records in our CRM and carrier systems
Collaborate with agents and producers to ensure a seamless customer experience
Support retention efforts by identifying opportunities for cross-selling and upselling
Qualifications:
High school diploma or equivalent required; college degree a plus
4-40 Customer Service License required
1+ years of experience in insurance or a customer service-related role preferred
Strong communication and interpersonal skills
Detail-oriented with excellent organizational abilities
Proficient in Microsoft Office Suite and comfortable learning new software
Why Join Us?
Competitive salary plus performance bonuses
Opportunities for career growth and professional development
Supportive team environment
Work that makes a difference in people's lives
Client Concierge/Client Specialist
Saint Augustine, FL jobs
Brightway Insurance is hiring a Full-Time Client Concierge in Saint Augustine
As a Client Concierge you will be the first point of contact for our clients, providing them with exceptional service and support. You will play a crucial role in maintaining our agency's reputation for excellence and ensuring client satisfaction.
Key Responsibilities
Greet and assist clients in person, via phone, email, and live chat, addressing inquiries and providing information on insurance products and services.
Assist clients with policy changes, renewals, and claims, ensuring timely and accurate processing.
Collaborate with the sales team to identify client needs and recommend appropriate insurance solutions.
Maintain organized client records, process paperwork, and manage scheduling to support agency operations.
Follow up with clients to ensure satisfaction and encourage policy renewals and referrals.
Qualifications
High school diploma or equivalent; college degree preferred.
Previous experience in customer service, insurance, or administrative roles is advantageous.
Strong communication, organizational, and multitasking abilities; proficiency in Microsoft Office Suite and CRM software.
Possession of a 4-40 Customer Representative license is preferred or the willingness to obtain one.
Established in 2008, Brightway Insurance has grown to become one of the largest privately-owned property and casualty insurance distribution companies in the U.S., with more than 350 agencies across 38 states and over $1.4 billion in annual premiums. Our unique franchise model offers agents the opportunity to focus on sales while we handle back-office operations, including carrier relations, licensing, and marketing support. This approach allows our agents to maximize their sales efforts and build lasting client relationships.
If you're an ambitious and driven individual eager to advance in the thriving insurance industry, Brightway Insurance offers the perfect opportunity. Take the next step in your career as a Client Concierge-apply today!
Customer Service Lead
Los Angeles, CA jobs
Key Responsibilities
Deliver high-quality customer service and administrative support using a customer interaction platform for workplace-related needs, including reception services, facilities support, hosting, conference room coordination, emergency notifications, and travel assistance
Design and elevate workplace experiences that make employees, clients, and guests feel welcomed, valued, and connected to the organization
Provide polished, high-touch service to all visitors and external guests
Assign, monitor, and coordinate work across a 24/7 team to ensure timely and accurate completion of requests
Train and support team members on established processes, tools, and workflows
Foster a collaborative team environment where ownership and accountability are shared across all agents
Safeguard confidential, sensitive, privileged, financial, and proprietary information at all times
Qualifications
We're interested in candidates who:
Communicate clearly and professionally, both verbally and in writing
Consistently deliver exceptional customer service and take pride in exceeding expectations
Demonstrate sound judgment and the ability to assess situations and take initiative independently
Has had previous management or lead experience in a customer support role
And who have:
A high school diploma or equivalent
At least three (3) years of experience in workplace services, reception, hospitality, technology support, or an inbound customer service environment
Administrative experience, preferably within a professional services or corporate setting
The Phoenix Group Advisors is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination and harassment of any kind based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. We strive to attract talented individuals from all backgrounds and provide equal employment opportunities to all employees and applicants for employment.
Commercial Service Advisor
Hartland, WI jobs
Vizance is looking for Client Service Advisors for our Commercial Lines/Risk Management Team in Hartland.
WHY JOIN VIZANCE?
Vizance has nearly 200 associates in 9 locations throughout Wisconsin, and is among the top 1% of all insurance agencies in the United States, based on agency revenue. We are different from other insurance agencies - on purpose! The combination of our Culture, Independence, and Performance/ System-Based Mindset clearly differentiate us as a company built to last.
Vizance has earned a number of awards, including Top Workplaces, Best Places to Work, Future 50, and Fastest Growing Firms, and is proud to be a Minority-Owned Business Enterprise (MBE).
WHAT YOU WILL DO AT VIZANCE
As a Client Service Advisor, you will be responsible for developing a strong working relationship with Risk Management Advisors and your clients. You will work with the Advisor and our carrier partners to ensure the timely and successful delivery of our client service standards.
This includes:
Policy Administration: Manage policy documentation, endorsements, and renewals
Risk Assessment: Collaborate with underwriters to assess and understand clients' unique risks
Communication: Work with dedicated sales and service teams to plan and execute client service plans
WHAT YOU WILL BRING TO VIZANCE
At least 2 years of Commercial Property & Casualty experience, preferably in an insurance agency setting
Wisconsin Property and Casualty Insurance License
Ability to work in a fast-paced environment with attention to detail
Desire to be part of a growing and collaborative team
Enthusiasm, exceptional communication skills, and a strong work ethic
WHAT YOU WILL LIKE ABOUT BEING AN ASSOCIATE AT VIZANCE
Comprehensive employee benefits package including medical, dental, vision, life, and disability insurance
401(k) match
Paid Time Off (including your birthday)
Sponsored education opportunities
A supportive team environment that celebrates success
Opportunities for growth
If you are looking for a promising career in a growing organization, then we want to hear from you!
FCMB Claims Customer Service Advocate II
Myrtle Beach, SC jobs
Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Description
Logistics: PGBA - one of BlueCross BlueShield's South Carolina subsidiary companies.
Location: This position is full time (40 hours/week) Monday-Friday from 8:00am - 5:30pm and will be on-site in Myrtle Beach, SC. Mandatory 3-month training program will be on-site. There is a mandatory OT during the week and Saturday as well.
Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen.
SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.
What You'll Do:
Research and respond to telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met.
Research and respond to written inquiries and identify incorrectly processed claims and complete the adjustment and/or reprocessing action according to department guidelines. This may include initiating, documenting, and processing the request to completion. Initiate recoupments as necessary.
Identify complaints and inquiries of a complexity level that cannot be resolved following desk procedures and guidelines and refer these to a lead or manager for resolution. Identifies and reports potential fraud and abuse situations.
Complete projects and/or assignments related to claims processing and customer service functions in the department.
To Qualify For This Position, You'll Need The Following:
Required Education: High School Diploma or equivalent
Required Experience: 2 years of customer service experience OR 1 year of claims or appeals processing experience and 1 year of customer service experience OR Bachelor's Degree in lieu of work experience.
Required Software and tools: Microsoft Office.
Required Skills and Abilities: Good verbal and written communication skills. Strong customer service skills. Good spelling, punctuation and grammar skills. Basic business math proficiency. Ability to handle confidential or sensitive information with discretion.
We Prefer That You Have the Following:
Two years of customer service experience OR One year of claims or appeals processing experience and one year of customer service experience OR a bachelor's degree in place of work experience.
Our Comprehensive Benefits Package Includes The Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
What To Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
Some states have required notifications. Here's more information.
Auto-ApplyWelcome Call Specialist
Altoona, WI jobs
The Welcome Call Specialist is responsible for providing exceptional customer service and welcoming all new Group Health members to the health plan. Functions
Make outbound welcome calls to our members in a pleasant, professional and efficient manner assuring exceptional customer service.
Document all incoming and outgoing calls, changes and follow-up information in the Electronic Care Management system.
Each call should cover the basic benefits of the product line and highlight the services we provide.
Assist members with valid phone numbers for services covered under Forward Health and other helpful resources.
Complete assessments with our members in a pleasant, professional, and efficient manner assuring exceptional customer service.
Educate members on plan policies and procedures at every opportunity.
Make members aware of transportation, telehealth or additional services provided through their health plan benefits.
Keep up to date on the various plans and benefit structure under the product lines.
Comply with all company policies and procedures.
Minimum Requirements of the Position
High school graduate or equivalent.
Minimum one year of customer service experience, call center experience preferred.
Excellent communication and customer service skills.
Proficient in the use of Microsoft Word and Excel.
Knowledge of Medicare, Medicaid, CPT / ICD 10 medical billing codes, and medical terminology are beneficial.
Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate, exclude or treat candidates less favorably on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity; and sex stereotypes).
The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard.
This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: ************************. Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.
Easy ApplyCustomer Service Advocate I
Columbia, SC jobs
Logistics
This position is full time (40 hours/week) Monday-Friday from 8:00am-6:00pm EST and will be on-site at our Government Programs Complex in Columbia, SC.
What You Will Do:
Ensures effective customer relations by responding accurately, timely and courteously to telephone, written, web, or walk-in inquiries. Accurately documents inquiries.
Initiates or processes adjustments or performs other research as needed to resolve inquiries. Coordinates with other departments to resolve problems. Responds to, researches and/or assists with priority inquiries and special projects as required by management.
Provides feedback to management regarding customer problems, questions and needs. Maintains accurate records on complaints and/or other customer comments and makes recommendations for changes to management. Follows through on complaints until resolved or reports to management as needed.
Maintains basic knowledge of quality work instructions and company policies. Assists with process improvements through the recommendation of changes in procedures and techniques discovered during daily operations. Maintains all departmental productivity, quality, and timeliness standards.
Identifies and promptly reports and/or refers suspected fraudulent activities and system errors to the appropriate departments.
To Qualify for This Position, You Will Need:
High School Diploma or equivalent
Excellent verbal and written communication skills.
Strong human relations and organizational skills.
Ability to handle high stress situations.
Good judgment skills.
Strong customer service skills.
Ability to learn and operate multiple computer systems effectively and efficiently.
Basic computer operating skills.
Basic use of standard office equipment.
What We Prefer:
Associate Degree
2 years of customer service or call center experience.
Knowledge of word processing, spreadsheet, and database software.
What We Can Do for You:
401(k) retirement savings plan with company match.
Subsidized health plans and free vision coverage.
Life insurance.
Paid annual leave - the longer you work here, the more you earn.
Nine paid holidays.
On-site cafeterias and fitness centers in major locations.
Wellness programs and healthy lifestyle premium discount.
Tuition assistance.
Service recognition.
Incentive Plan.
Merit Plan.
Continuing education funds for additional certifications and certification renewal.
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements.
Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
Some states have required notifications. Here's more information.
Auto-ApplyCustomer Relations Specialist - 100% Commission | Wilmington, NC (SG-685603)
Wilmington, NC jobs
Job DescriptionAbout The Strickland Group The Strickland Group is a family-driven, vision-first agency backed by a major national carrier. We combine modern tech, AI-assisted systems, and human connection to change how families protect their future. Our mission is simple: serve people and leave them better than we found them. Why this role is different This isn't a corporate seat - it's a pathway to ownership. You'll build your own business while helping families protect their income, eliminate debt, and create generational wealth. We train you, support you, and help you win - whether part-time or full-time. What You'll Do • Contact warm leads (no cold calling) • Help families find the best protection plans • Develop leadership skills • Build a business with unlimited earning potential What We Look For • Coachable individuals hungry for growth • People who want time, freedom, and purpose • Strong communicators • No experience required (training provided) Earning Potential This is a 100% commission opportunity. Part-time: $35K-$75K. Full-time: $85K-$250K+. Top earners exceed $400K+. We hire nationwide, full-time and part-time. If you're ready to build something meaningful, apply today.
Licensed Insurance Customer Service
Metairie, LA jobs
Job Description
Successful State Farm Agent is seeking a qualified professional to join their winning team for the role of Licensed Customer Service Representative - State Farm Agent Team Member. Active Property and Casualty license is required. We seek a licensed energetic professional interested in helping our business grow through value-based conversations and remarkable customer experience.
Responsibilities include but not limited to:
Establish customer relationships and follow up with customers, as needed
Provide prompt, accurate, and friendly customer service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification
Use a customer-focused, needs-based review process to educate customers about insurance options
Maintain a strong work ethic with a total commitment to success each and every day
What we provide
Minimum salary $18.00/hour; salary will be increased dependent upon experience, licensing and performance.
Once licensed, bonuses and commissions will be paid on sales performance.
Paid time off (vacation)
Retirement plan (after first year)
Valuable experience
Growth potential/Opportunity for advancement within my office
Requirements
Property & Casualty license (required)
Life and Health license (required)
Excellent interpersonal skills
Excellent communication skills - written, verbal and listening
People-oriented
Organizational skills
Self-motivated
Detail oriented
Proactive in problem solving
Dedicated to customer service
Able to learn computer functions
Pride in getting work done accurately and timely
Ability to work in a team environment
Ability to multi-task
Provide timely and thorough activity reports to agent
Selected candidate is expected to remain current in product changes, licensing, technical developments, and continuing education
If you are motivated to succeed and can see yourself in this role, please submit your resume. We will follow up with you on the next steps in the interview process.
This position is with a State Farm independent contractor agent, not with State Farm Insurance Companies. Employees of State Farm agents must be able to successfully complete any applicable licensing requirements and training programs. State Farm agents are independent contractors who hire their own employees. State Farm agents employees are not employees of State Farm.