Customer Service Representative jobs at HMSA - 10 jobs

Independently process group and direct payments received from walk-in members and groups while providing all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand message and commitment to service excellence. Effectively and independently analyze and research inquiries from customers (internal and external) relating to billing and payments processed by cashiers. Handle customer inquiries (internal and external) by responding to their needs quickly and efficiently. Requires broad understanding of HMSA's business, including the Hawaii Health Connector, HMSA online storefront, LRSP, QNXT, and ancillary systems. Provide quality service in line with HMSA's mission and vision. Assist in bill production for individual subscribers and groups, including cycle billing and demand billing. Performs reconciliations and audits to ensure the billing system, A/R system, and electronic bill presentment system are in balance. Independently resolves any identified variances. Process mailed-in group and direct payments from members and groups. Process rejected and unprocessed payments from Bank of Hawaii Lockbox. Process miscellaneous payments from other departments: Medicaid, Workshops, Administrative Services Only, Long Term Care, etc. Process medical refund checks (HMSA or other) mailed-in by members and providers. Process miscellaneous checks from Finance & Accounting units. Process member Automatic Dues Payment Set-up (DPS) and mailing notification letters. Process QNXT Unapplied Cash Payments. Balance and reconcile deposits, and record payments to various general ledger accounts. Review and conduct analyses to assist the department in maintaining an efficient delinquency and cancellation process for individual subscribers and groups. Includes monitoring delinquent subscribers and groups, generating and mailing delinquency and cancellation letters, and ensuring that cancelled accounts are reconciled accurately. Process routine enrollment and group or subscriber maintenance transactions submitted in the HMSA Centers. Processes returned checks, agent fee bills, and issues petty cash. Balance cash daily and replenish till monthly. Record expenses to proper operating expense general ledger account. Make corrections as needed. Performs all other miscellaneous responsibilities and duties as assigned or directed

Customer Service Associate Representative Our Customer Service Associate Representatives are dedicated team members who excel at customer service, helping us elevate our patient care to new heights. In this crucial role, you are on the front lines with patients, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy. Performs Customer Service duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Main job functions include: helping patients understand their pharmacy benefits better by using knowledge gained from training, problem-solving skills and added support from your team to answer patient calls effectively. While on calls, you will use expert listening skills to address patient questions and concerns empathetically and document all interactions. Job functions also include assisting patients with prescription refills, scheduling shipments and addressing billing questions. What You Should Have: High School Diploma / GED required 1 year of relevant call center experience preferred 1 year Previous medical insurance or pharmacy experience preferred General PC knowledge including Microsoft Office and outlook Excellent communication skills (verbal and written) Empathetic and genuine customer service skills Candidates must live on the island of Oahu This is a hybrid role and requires the ability to work in person. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 17.75 - 19 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Job Description Join local Allstate Insurance agency, a reputable name in the insurance industry with a strong foundation of trust and reliability. Located in Lihue, Hawaii, we take pride in serving our community with dedication and passion. As an Insurance Customer Service Representative, you will be the friendly face of our agency, providing exceptional service and support to our valued clients. Your role will involve handling inquiries, resolving issues, and ensuring a seamless customer experience. If you are a customer-focused individual looking to make a difference in people's lives, Allstate Insurance: Yukimura & Associates welcomes you to join our team and be a part of our commitment to excellence. Benefits Annual Base Salary + Commission Paid Time Off (PTO) Health Insurance Dental Insurance Vision Insurance Parental Leave Mon-Fri Schedule Career Growth Opportunities Retirement Plan Evenings Off Hands on Training Office coffee and snacks Birthday lunches Responsibilities Client Support: Assist customers with insurance inquiries, billing questions, and policy changes. Claims Assistance: Guide clients through the claims process, ensuring a smooth and efficient experience. Policy Maintenance: Update client information, process renewals, and provide coverage details. Customer Advocacy: Advocate for clients' needs within the agency to ensure prompt and accurate service. Documentation: Maintain accurate records of client interactions and transactions for regulatory compliance. Continuous Improvement: Identify opportunities to enhance customer service processes and contribute to team efficiency. Requirements Licensing: Possession of or willingness to obtain a Hawaii Property & Casualty Insurance License. Customer Service Experience: Previous experience in a customer-facing role is preferred. Communication Skills: Excellent verbal and written communication abilities with a focus on clarity and professionalism. Detail-Oriented: Strong attention to detail and accuracy in handling policy information and client interactions. Adaptability: Ability to thrive in a face-to-face customer service setting with a client-centric approach. Team Player: Capable of working collaboratively with a diverse team to achieve shared goals and deliver exceptional service. Tech Proficiency: Comfortable working with basic computer applications and programs to manage client information effectively.

* Independently process group and direct payments received from walk-in members and groups while providing all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand message and commitment to service excellence. * Effectively and independently analyze and research inquiries from customers (internal and external) relating to billing and payments processed by cashiers. Handle customer inquiries (internal and external) by responding to their needs quickly and efficiently. Requires broad understanding of HMSA's business, including the Hawaii Health Connector, HMSA online storefront, LRSP, QNXT, and ancillary systems. Provide quality service in line with HMSA's mission and vision. * Assist in bill production for individual subscribers and groups, including cycle billing and demand billing. Performs reconciliations and audits to ensure the billing system, A/R system, and electronic bill presentment system are in balance. Independently resolves any identified variances. * Process mailed-in group and direct payments from members and groups. Process rejected and unprocessed payments from Bank of Hawaii Lockbox. Process miscellaneous payments from other departments: Medicaid, Workshops, Administrative Services Only, Long Term Care, etc. Process medical refund checks (HMSA or other) mailed-in by members and providers. Process miscellaneous checks from Finance & Accounting units. Process member Automatic Dues Payment Set-up (DPS) and mailing notification letters. Process QNXT Unapplied Cash Payments. Balance and reconcile deposits, and record payments to various general ledger accounts. * Review and conduct analyses to assist the department in maintaining an efficient delinquency and cancellation process for individual subscribers and groups. Includes monitoring delinquent subscribers and groups, generating and mailing delinquency and cancellation letters, and ensuring that cancelled accounts are reconciled accurately. * Process routine enrollment and group or subscriber maintenance transactions submitted in the HMSA Centers. * Processes returned checks, agent fee bills, and issues petty cash. Balance cash daily and replenish till monthly. Record expenses to proper operating expense general ledger account. Make corrections as needed. * Performs all other miscellaneous responsibilities and duties as assigned or directed * Associate's degree or an equivalent combination of education and related work experience. * Strong verbal and written communication skills * Basic level knowledge of Microsoft Office applications. Including but not limited to Word, Excel, Outlook, and Power Point * Must have an acceptable credit report to enter into position due to exposure to cash transactions and other negotiable instruments.

Job Description State Farm Agency, located in Makawao, HI is currently looking for a talented, caring, professional to join our team as a Customer Service Representative. This is a position focused on Customer Service for a well-established State Farm Agent. If you have a talent for customer care and understand the needs and motivations of people, we want you on our team! As our Customer Service Representative, you'll work to inspire customer loyalty and significantly enhance the overall State Farm Insurance customer experience. Responsibilities include but not limited to: Answer phones and greet clients. 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. You will receive: Base pay Valuable experience Growth potential/Opportunity for advancement within my office Requirements Excellent communication skills - written, verbal and listening Self-motivated Detail oriented Proactive in problem solving Ability to work in a team environment Ability to assess customer needs and conduct effective interviews Ability to effectively relate to a customer Property Casualty license (must be able to obtain) Life and Health license (must be able to obtain) 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.

Under the supervision of the Customer Service Manager, responds to customer inquires and resolves customer issues, and provides information about eligibility, benefits and claims information during incoming/outbound calls or walk-ins and within written or electronic correspondence. Coordinates benefits with other insurance carriers and processes simple claim adjudication as well supports Claims Processing with data entry and claims up to Level 2. Responds to all inquiries and resolves issues in an efficient and timely manner, as established by Team Goals and Objectives. ESSENTIAL DUTIES AND RESPONSIBILITIES Responds to phone inquiries regarding eligibility, benefits, claim status and other plan information and/or issues in an efficient and timely manner. Coordinates benefits with Medicaid and other insurance carriers by phone and processes simple claim adjudication when necessary. Provides written responses to Customer Care emails. Provides back-up support for Claims Processing with data entry and adjudicate claims up to Level 2 as required. Other Duties & Responsibilities Adheres to established document policies and procedures. Accomplishes special projects as assigned. Completes routine administrative tasks. Services walk-in customer inquiries. Other miscellaneous duties and responsibilities as assigned. MINIMUM QUALIFICATIONS AND EXPERIENCE Education High School Diploma, or its equivalent. Experience At least one year clerical experience, customer service or sales, or any combination of education and experience which would provide the necessary knowledge, skills and abilities to meet the minimum qualifications to perform the essential functions of this position. Preferred experience working in a high call volume work setting. Skills and Knowledge : Working knowledge of PC applications (i.e. word processing and spreadsheets) highly desirable. Requires demonstrated customer service skills and sales ability. Ability to maintain focus, attention to detail, and a willingness to own and follow-up with tasks. Ability to handle multiple tasks with some distractions while maintaining a high level of accuracy.0/03/2013 Ability to communicate orally and in writing with all levels of staff, customers and vendors. Ability to handle all information in a confidential manner and in compliance with federal and state laws/regulations (i.e., HIPAA, PHI). Note : The above information on this description has been designed to indicate the general nature and level of work performed by an employee in this classification. It is not to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualification of employees assigned to this job. Hawaii Dental Service has the right to add to, revise, or delete information in this description. Reasonable accommodations will be made to enable qualified individuals with disabilities to perform the essential functions of this position.

Customer Service Associate Representative Our Customer Service Associate Representatives are dedicated team members who excel at customer service, helping us elevate our patient care to new heights. In this crucial role, you are on the front lines with patients, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy. Performs Customer Service duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Main job functions include: helping patients understand their pharmacy benefits better by using knowledge gained from training, problem-solving skills and added support from your team to answer patient calls effectively. While on calls, you will use expert listening skills to address patient questions and concerns empathetically and document all interactions. Job functions also include assisting patients with prescription refills, scheduling shipments and addressing billing questions. What You Should Have: + High School Diploma / GED required + 1 year of relevant call center experience preferred + 1 year Previous medical insurance or pharmacy experience preferred + General PC knowledge including Microsoft Office and outlook + Excellent communication skills (verbal and written) + Empathetic and genuine customer service skills + Candidates must live on the island of Oahu **_This is a hybrid role and requires the ability to work in person._** If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 17.75 - 19 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

* Performance * Meet established marketing plan goals, and achieve annual sales revenue and membership growth objectives by effectively promoting and closing prospective sales opportunities. * Perform quick and efficient transaction fulfillment of telephone calls or email from prospective or current HMSA employer groups and members. * Proactively promote HMSA and USAble product options and meet established HMSA and USAble sales goals. * Protect HMSA's market share through the successful renewal and retention of assigned accounts. * Document all prospect inquiries, outcomes, and follow up on sales enrollment opportunities via the telephone or in writing. * Prepare proposals for new small group, new individual plans, Medicare plans, plan upgrades, and additions and modifications to existing plans. * Support phone inquiries for senior plan sales during annual enrollment period. * Meet goals, sales and retention quotas, and minimum activity standards. * Relationships * Serve as the "face of HMSA" to provide HMSA products and servicing to our small business, individual plan, and Medicare plan customers. * Coordinate problem solving associated with group and member inquiries. * Manage internal and external customer relationships to ensure that employer/member product and servicing needs are identified and addressed. * Expand relationships with groups through the sale of new products. * All employees are assigned to health, and product fairs and public service events throughout the year, to represent HMSA at public events. * Administrative * Maintain accurate records of all account activity and provide management with a weekly report on sales opportunities, proposals, jeopardy/lost accounts, sales activities, and servicing issues. * Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid * Associates degree, or two years related work experience; or equivalent combination of education and work experience. * Strong written and verbal communication skills * Strong customer servicing skills. * Strong decision-making and problem analysis skills. * Basic working knowledge of Microsoft Office applications. Including but not limited to Word, Excel, Outlook, and PowerPoint. * Active license with the state of Hawaii Department of Commerce and Consumer Affairs or pass all four sections of the state licensing examination within three months of hire date. * Having an active license to sell Health, Life and Group Insurance products in the state of Hawaii is a condition of employment.

* Performance * Meet established marketing plan goals, and achieve annual sales revenue and membership growth objectives by effectively promoting and closing prospective sales opportunities. * Perform quick and efficient transaction fulfillment of telephone calls or email from prospective or current HMSA employer groups and members. * Proactively promote HMSA and USAble product options and meet established HMSA and USAble sales goals. * Protect HMSA's market share through the successful renewal and retention of assigned accounts. * Document all prospect inquiries, outcomes, and follow up on sales enrollment opportunities via the telephone or in writing. * Prepare proposals for new small group, new individual plans, Medicare plans, plan upgrades, and additions and modifications to existing plans. * Support phone inquiries for senior plan sales during annual enrollment period. * Meet goals, sales and retention quotas, and minimum activity standards. * Relationships * Serve as the "face of HMSA" to provide HMSA products and servicing to our small business, individual plan, and Medicare plan customers. * Coordinate problem solving associated with group and member inquiries. * Manage internal and external customer relationships to ensure that employer/member product and servicing needs are identified and addressed. * Expand relationships with groups through the sale of new products. * All employees are assigned to health, and product fairs and public service events throughout the year, to represent HMSA at public events. * Administrative * Maintain accurate records of all account activity and provide management with a weekly report on sales opportunities, proposals, jeopardy/lost accounts, sales activities, and servicing issues. * Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid * Associates degree, or two years related work experience; or equivalent combination of education and work experience. * Strong written and verbal communication skills * Strong customer servicing skills. * Strong decision-making and problem analysis skills. * Basic working knowledge of Microsoft Office applications. Including but not limited to Word, Excel, Outlook, and PowerPoint. * Active license with the state of Hawaii Department of Commerce and Consumer Affairs or pass all four sections of the state licensing examination within three months of hire date. * Having an active license to sell Health, Life and Group Insurance products in the state of Hawaii is a condition of employment.