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Call Center Associate jobs at Progressive - 1081 jobs

  • Customer Support Specialist

    Blue Cross & Blue Shield of Mississippi 4.3company rating

    Gulfport, MS jobs

    **This role is 100% onsite in Flowood, MS. There is no remote capacity.** The Customer Support Specialist (CSS) is accountable for providing quality service to customers seeking direction, information or assistance by conducting effective research on matters related to my Blue, pharmacy, enrollment, billing, benefits and claims inquiries to ensure first call resolution is achieved. This position is responsible for ensuring a connection is made with each customer interaction to assist the customer with their initial concern and provide information tailored to their individual healthcare needs. Job-Specific Requirements: Must have a Bachelor's degree with at least a 3.0 GPA. Must have proficient computer skills and be able to successfully complete all levels of the call center training program. Excellent active listening skills in order to clearly understand members' issues. Must possess excellent communication skills to ensure a professional company image is projected at all times. Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.
    $31k-42k yearly est. 1d ago
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  • Customer Support Specialist

    Blue Cross & Blue Shield of Mississippi 4.3company rating

    Jackson, MS jobs

    **This role is 100% onsite in Flowood, MS. There is no remote capacity.** The Customer Support Specialist (CSS) is accountable for providing quality service to customers seeking direction, information or assistance by conducting effective research on matters related to my Blue, pharmacy, enrollment, billing, benefits and claims inquiries to ensure first call resolution is achieved. This position is responsible for ensuring a connection is made with each customer interaction to assist the customer with their initial concern and provide information tailored to their individual healthcare needs. Job-Specific Requirements: Must have a Bachelor's degree with at least a 3.0 GPA. Must have proficient computer skills and be able to successfully complete all levels of the call center training program. Excellent active listening skills in order to clearly understand members' issues. Must possess excellent communication skills to ensure a professional company image is projected at all times. Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.
    $31k-40k yearly est. 1d ago
  • Customer Support Specialist

    Blue Cross & Blue Shield of Mississippi 4.3company rating

    Meridian, MS jobs

    **This role is 100% onsite in Flowood, MS. There is no remote capacity.** The Customer Support Specialist (CSS) is accountable for providing quality service to customers seeking direction, information or assistance by conducting effective research on matters related to my Blue, pharmacy, enrollment, billing, benefits and claims inquiries to ensure first call resolution is achieved. This position is responsible for ensuring a connection is made with each customer interaction to assist the customer with their initial concern and provide information tailored to their individual healthcare needs. Job-Specific Requirements: Must have a Bachelor's degree with at least a 3.0 GPA. Must have proficient computer skills and be able to successfully complete all levels of the call center training program. Excellent active listening skills in order to clearly understand members' issues. Must possess excellent communication skills to ensure a professional company image is projected at all times. Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.
    $30k-40k yearly est. 1d ago
  • Personal Lines Insurance CSR

    Summit Bridge Partners 4.5company rating

    Baltimore, MD jobs

    Personal Lines Client Service Representative A well-established insurance agency in Baltimore is seeking a proactive and detail-driven professional to join their personal lines team. This position is ideal for someone with a foundation in property and casualty insurance and a passion for providing excellent support to both internal teams and policyholders. You'll work closely with internal account managers, insurance carriers, and individual clients to ensure timely and accurate service for policies related to home, auto, and personal liability protection. Key Responsibilities Deliver responsive and high-quality service to clients via phone and email Assist with the intake, processing, and follow-up for policy updates, changes, and new account setup Maintain and update service records, documentation, and internal systems accurately Support service team in reviewing incoming policy data and troubleshooting issues Prepare routine correspondence, coverage summaries, and support documents Respond to carrier and client information requests in a timely, professional manner Help with premium comparisons, policy placement options, and remarketing efforts when needed Qualifications 2+ years of insurance experience required (personal lines) Active P&C license preferred but not required with the right experience Strong written and verbal communication skills Tech-savvy, detail-oriented, and organized Team-first mentality with a proactive and collaborative attitude Compensation & Benefits Competitive base pay range of $50,000 to $70,000 Full benefits package including health, dental, vision insurance and retirement contributions
    $50k-70k yearly 4d ago
  • Customer Support Specialist

    Blue Cross & Blue Shield of Mississippi 4.3company rating

    Hattiesburg, MS jobs

    **This role is 100% onsite in Flowood, MS. There is no remote capacity.** The Customer Support Specialist (CSS) is accountable for providing quality service to customers seeking direction, information or assistance by conducting effective research on matters related to my Blue, pharmacy, enrollment, billing, benefits and claims inquiries to ensure first call resolution is achieved. This position is responsible for ensuring a connection is made with each customer interaction to assist the customer with their initial concern and provide information tailored to their individual healthcare needs. Job-Specific Requirements: Must have a Bachelor's degree with at least a 3.0 GPA. Must have proficient computer skills and be able to successfully complete all levels of the call center training program. Excellent active listening skills in order to clearly understand members' issues. Must possess excellent communication skills to ensure a professional company image is projected at all times. Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.
    $31k-41k yearly est. 1d ago
  • Commercial Lines Client Service Rep

    Summit Bridge Partners 4.5company rating

    Baltimore, MD jobs

    About the Role The Commercial Lines Client Service Representative plays a vital role in supporting our commercial clients and ensuring their insurance needs are met with professionalism and care. As the primary point of contact for business clients, you will deliver exceptional service, provide expert guidance on commercial coverage, and maintain strong client relationships. This position is key to sustaining our reputation for excellence and driving client retention. Key Responsibilities ● Provide timely and professional assistance to commercial clients regarding their insurance policies, including coverage questions, billing inquiries, and policy changes. ● Process new business applications, renewals, endorsements, audits, and cancellations accurately and efficiently. ● Proactively identify client needs and recommend appropriate coverage options or enhancements to protect their business. ● Maintain accurate client and policy information in the agency management system. ● Assist in the claims process by guiding clients and collaborating with carriers to ensure fair and timely resolution. ● Coordinate with producers and underwriters to deliver comprehensive solutions for complex commercial accounts. About the Candidate The ideal candidate has a strong background in customer service and experience working with commercial insurance accounts. They excel at building lasting relationships with business clients and explaining complex coverage in clear, understandable terms. Highly organized and detail-oriented, they thrive in fast-paced environments and manage multiple priorities with accuracy. Their proactive communication and commitment to service excellence make them an invaluable member of the team. Qualifications Experience: 2+ years in a customer service role, preferably within commercial insurance. Active P&C license preferred but not required with the right experience Strong written and verbal communication skills Tech-savvy, detail-oriented, and organized Experience with an agency management system is a plus. Team-first mentality with a proactive and collaborative attitude Compensation & Benefits Competitive base pay range of $60,000 to $80,000 Full benefits package including health insurance and retirement contributions Free parking Work Environment In-office role (Monday to Friday schedule). Communication channels include phone, email, and team collaboration platforms Small team with supportive culture and a mix of independent and group tasks
    $60k-80k yearly 20h ago
  • Customer Support Specialist

    Blue Cross & Blue Shield of Mississippi 4.3company rating

    Southaven, MS jobs

    **This role is 100% onsite in Flowood, MS. There is no remote capacity.** The Customer Support Specialist (CSS) is accountable for providing quality service to customers seeking direction, information or assistance by conducting effective research on matters related to my Blue, pharmacy, enrollment, billing, benefits and claims inquiries to ensure first call resolution is achieved. This position is responsible for ensuring a connection is made with each customer interaction to assist the customer with their initial concern and provide information tailored to their individual healthcare needs. Job-Specific Requirements: Must have a Bachelor's degree with at least a 3.0 GPA. Must have proficient computer skills and be able to successfully complete all levels of the call center training program. Excellent active listening skills in order to clearly understand members' issues. Must possess excellent communication skills to ensure a professional company image is projected at all times. Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.
    $30k-38k yearly est. 1d ago
  • Customer Service Representative

    Employee Benefits Corporation 4.4company rating

    Madison, WI jobs

    Employee Benefits Corporation is hiring a Customer Service Representative. The Customer Service Representative is responsible for interacting with customers via telephone or email to address inquiries and resolve concerns regarding Employee Benefits Corporation's products and services. This position has frequent customer contact and interacts across multiple departments on a daily basis. This person may work in our Middleton, WI office, fully remote (Wisconsin locations only), or a combination of the two depending on availability. Responsibilities Include: Manage a high volume of calls in a timely and effective manner Establish rapport and trust with all customers, ensuring a high quality and meaningful experience is delivered with every interaction Obtain information from multiple systems and relay to customers in a seamless manner. Maintain and proactively manage CRM database, documenting each customer interaction and action in a timely, compliant manner and in adherence with departmental standards Obtain and maintain current and ongoing product and regulation related knowledge at a level of proficiency to resolve requests and inquiries De-escalate situations involving dissatisfied customers, offering patient assistance and support Qualifications: High School diploma or equivalent 2 years customer service experience Ability to remain calm when dealing with challenging customers Excellent listening, verbal and written communication skills Strong attention to detail Ability to articulate relevant information in an organized and concise manner Demonstrated experience de-escalating customer issues Enthusiasm for working in a fast-paced, structured environment Strong ability to multi-task Strong critical thinking skills to help manage difficult situations Computer proficiency in Windows-based applications along with a demonstrated ability to learn new software programs Basic working knowledge of Microsoft Word and Outlook Preferred Qualifications: Associate degree in Business or related field Previous experience in a high volume call center Demonstrated ability to guide customers through troubleshooting and navigating various company systems and the mobile application Experience providing customer service for a variety of products in the financial services or healthcare industry We Offer: A friendly, collaborative team environment A competitive compensation and benefits package that includes employee-ownership Opportunities for personal and professional growth Flexible scheduling to encourage and support a healthy work-life balance More About Us: Employee Benefits Corporation administers a variety of employee benefits, from IRS-approved, tax-advantaged plans to COBRA and state-regulated continuation administration through informative education materials, dedicated reporting, creative plan design and expert customer support. We work with benefit brokers and consultants, employers and HR administrators, and benefit plan participants to offer top-notch workplace benefits and customer service. As a 100% employee-owned company, we are committed to using our experience, knowledge, creativity and technology to ensure our customers' satisfaction with their plans and with our services. ? Employee Benefits Corporation is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. Our affirmative action program is available to any applicant or employee upon request. If you need an accommodation as part of the employment process, please contact Human Resources via email at or via phone at .
    $32k-40k yearly est. 4d ago
  • Client Services Representative

    Venbrook 3.3company rating

    Irvine, CA jobs

    JOB TITLE: Client Services Representative (CSR) - Employee Benefits DEPARTMENT: Employee Benefits CLASSIFICATION: Non-Exempt LANGUAGE REQUIREMENT: Bilingual English and Spanish COMPENSATION: Hourly wage: $28.85 - $33.65 Based on experience COMPANY OVERVIEW: Venbrook is a privately held insurance brokerage and risk management firm providing tailored solutions across employee benefits, property and casualty, and specialty lines. Our teams support clients through direct service, accountability, and clear communication. Our culture emphasizes ownership, collaboration, and trust. We offer a comprehensive benefits package: 401k with employer match Medical, dental, vision, life, and disability insurance Paid Time Off Paid holidays Paid sick leave Professional development opportunities Flexible work arrangements JOB SUMMARY: The Client Services Representative supports employees and HR contacts with day-to-day benefit inquiries. You operate in a high-volume, member-facing environment. You resolve routine issues and escalate complex matters following defined guidelines. Your work supports a consistent member experience and reduces service interruptions for Account Management teams. DUTIES/RESPONSIBILITIES: Employee and Member Support Serve as the primary contact for benefit inquiries via phone and email Explain coverage, eligibility, and benefit usage in clear terms Guide members through carrier portals, mobile applications, and ID card access Support employees during open enrollment Provide bilingual support in English and Spanish Routine Benefits and Claims Support Process ID card requests and replacements Confirm provider network participation Respond to basic claim status inquiries Verify eligibility and enrollment changes Add or remove dependents Provide prescription refill guidance Address standard open enrollment questions Issue Identification and Escalation Identify issues requiring escalation Route cases to Account Management per internal guidelines Ensure complete documentation prior to escalation Maintain ownership until successful handoff is confirmed Documentation and Collaboration Document all interactions and outcomes in the CRM system Track open items through resolution Partner with Account Managers and Advocacy teams Identify recurring issues and share trends with leadership EDUCATION & EXPERIENCE: Required Skills & Qualifications · One to three years of experience in employee benefits, insurance · Bilingual English and Spanish · Clear written and verbal communication skills · Ability to manage high call and email volume · Strong organization and follow-through · Professional and composed in time-sensitive situations Preferred Qualifications · Experience in an employee benefits brokerage or consulting environment · Knowledge of health and welfare benefit plans · Experience with CRM or benefits administration platforms · Working knowledge of Outlook, Word, and Excel Measures of Success Timely resolution of routine member issues Clear and complete escalation documentation Positive member experience feedback Reduced disruption to Account Management workflows
    $28.9-33.7 hourly 1d ago
  • Customer Service Representative

    The Phoenix Group 4.8company rating

    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.
    $33k-43k yearly est. 20h ago
  • Customer Service and Sales Representative

    HMSA 4.7company rating

    Kapolei, HI jobs

    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
    $40k-45k yearly est. 2d ago
  • Portal Services Representative I

    Skygen 4.0company rating

    Menomonee Falls, WI jobs

    Important things YOU should know: Schedule: Monday - Friday, 8:00am - 4:30pm CST Please know hours of operation are 8:00am - 6:00pm CST so shift could flex based on business need. Fully Remote What will YOU be doing for us? Increase member, provider and client use of our web based solutions for claims submission, payments, and authorizations. What will YOU be working on? Provide education to callers on the benefits of utilizing the member and provider insurance portals. Service dental, medical, vision and physical therapy members and providers using the member and provider portals offered by SKYGEN USA. Provide feedback to multiple internal departments regarding issues found on the member and provider portals. Ensure all calls are answered according to company and client guidelines. Accurately document call information and resolution in internal systems while engaging with members and providers. Properly identify potential issues that are not easily resolved and escalate appropriately to Manager. Perform outbound calling projects as directed. Additional Responsibilities: Utilize multiple modules in the Enterprise System to research portal questions. Work with internal departments to produce, maintain, and deliver portal training references and materials. Work with call center to resolve outstanding follow ups generated from incoming calls. Using automated systems, maintain updated data on portals by verifying accuracy and handling any exceptions or issues. Act as a liaison between portal users and clients to resolve escalated issues. Provide recommendations on system enhancements and process improvements to management. Assist department with administrative tasks and additional duties as needed. What qualifications do YOU need to have to be GOOD candidate? Required Level of Education, Licenses, and/or Certificates High school diploma/GED required Required Level of Experience 1 year of customer service experience (Call Center, Provider Relations). Required Knowledge, Skills, and Abilities Intermediate knowledge of Microsoft programs (Word, Excel, and email) Excellent attention to detail Excellent oral and written communication skills Ability to successfully meet timelines for project plans Strong navigation skills and the ability to multi-task What qualifications do YOU need to have to be a GREAT candidate? Preferred Level of Education, License, and/or Certificates Associates degree/2 year degree in related field Preferred Level of Experience 1-3 years of customer service experience (Call Center, Provider Relations). Preferred Knowledge, Skills, and Abilities Knowledge of contract terminology Understanding of reimbursement methods Knowledge of dental, medical, physical therapy and vision products and terminology
    $31k-49k yearly est. 6d ago
  • Customer Service Representative

    Employee Benefits Corporation 4.4company rating

    Wisconsin Dells, WI jobs

    Employee Benefits Corporation is hiring a Customer Service Representative. The Customer Service Representative is responsible for interacting with customers via telephone or email to address inquiries and resolve concerns regarding Employee Benefits Corporation's products and services. This position has frequent customer contact and interacts across multiple departments on a daily basis. This person may work in our Middleton, WI office, fully remote (Wisconsin locations only), or a combination of the two depending on availability. Responsibilities Include: Manage a high volume of calls in a timely and effective manner Establish rapport and trust with all customers, ensuring a high quality and meaningful experience is delivered with every interaction Obtain information from multiple systems and relay to customers in a seamless manner. Maintain and proactively manage CRM database, documenting each customer interaction and action in a timely, compliant manner and in adherence with departmental standards Obtain and maintain current and ongoing product and regulation related knowledge at a level of proficiency to resolve requests and inquiries De-escalate situations involving dissatisfied customers, offering patient assistance and support Qualifications: High School diploma or equivalent 2 years customer service experience Ability to remain calm when dealing with challenging customers Excellent listening, verbal and written communication skills Strong attention to detail Ability to articulate relevant information in an organized and concise manner Demonstrated experience de-escalating customer issues Enthusiasm for working in a fast-paced, structured environment Strong ability to multi-task Strong critical thinking skills to help manage difficult situations Computer proficiency in Windows-based applications along with a demonstrated ability to learn new software programs Basic working knowledge of Microsoft Word and Outlook Preferred Qualifications: Associate degree in Business or related field Previous experience in a high volume call center Demonstrated ability to guide customers through troubleshooting and navigating various company systems and the mobile application Experience providing customer service for a variety of products in the financial services or healthcare industry We Offer: A friendly, collaborative team environment A competitive compensation and benefits package that includes employee-ownership Opportunities for personal and professional growth Flexible scheduling to encourage and support a healthy work-life balance More About Us: Employee Benefits Corporation administers a variety of employee benefits, from IRS-approved, tax-advantaged plans to COBRA and state-regulated continuation administration through informative education materials, dedicated reporting, creative plan design and expert customer support. We work with benefit brokers and consultants, employers and HR administrators, and benefit plan participants to offer top-notch workplace benefits and customer service. As a 100% employee-owned company, we are committed to using our experience, knowledge, creativity and technology to ensure our customers' satisfaction with their plans and with our services. ? Employee Benefits Corporation is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. Our affirmative action program is available to any applicant or employee upon request. If you need an accommodation as part of the employment process, please contact Human Resources via email at or via phone at .
    $32k-40k yearly est. 4d ago
  • Customer Service Representative I

    Santa Clara Family Health Plan 4.2company rating

    San Jose, CA jobs

    Salary Range: $54,647 - $79,237 The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change. FLSA Status:Non-Exempt Department:Customer Service Reports To:Supervisor, Customer Service Employee Unit:Employees in this classification are represented by Service Employees International Union (SEIU) Local No. 521 GENERAL DESCRIPTION OF POSITION The Customer Service Representative I answers inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call Center service-level objectives. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below. Act as the primary point of contact and liaison for SCFHP members and providers contacting the plan regarding general inquiries, concerns or requests for information. Develop a general understanding of all member facing materials, communications and interactions and be prepared to respond appropriately to follow up calls. Answer inbound calls and/or place outbound calls in a high call volume environment and work directly with members and providers to accurately and completely answer inquiries involving SCFHP program services and benefits. Follow established guidelines and resources to respond to member and provider inquiries and resolve concerns in an accurate, timely, professional, and culturally competent manner. Intake, handle and coordinate member grievances, appeals and billing issues, escalating to the Grievance and Appeals department, when necessary. Educate members and providers on eligibility, and medical and pharmacy benefits and how to access services in a manner that achieves excellent service standards and maintains high customer satisfaction. Use listening skills and judgment to appropriately categorize and accurately document all contacts and follow-up actions regarding member and provider communications and activities in accordance with established guidelines. Appropriately handle member and provider requests through alternative channels such as e-mail, voicemail, fax, walk-in, etc. in accordance with established procedures. Triage member and provider requests or inquiries for other departments. Conduct member surveys as assigned in accordance with established guidelines. Attend and actively participate in daily, weekly, and monthly departmental meetings, in-services, training and coaching sessions. Identify member/provider issues and trends and report relevant information to management. Perform other related duties as required or assigned. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. High School Diploma or GED. (R) Minimum one year of experience in Customer Service or Call Center role, preferably within a Health Care, Public Assistance or Human Services programs. (R) Prior experience with managed care plans, Medi-Cal and Medicare programs, and working with underserved populations. (D) Ability to meet Key Performance Indicators by participating in and achieving the standards of the Customer Service Call Center Quality Program. (R) Spanish, Vietnamese, Chinese, or Tagalog language bi-lingual skills. (D) Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications, such as Outlook, Word and Excel. (R) Ability to use a keyboard with moderate speed and a high level of accuracy. (R) Excellent communication skills including the ability to express oneself clearly and concisely when providing service to SCFHP Plan members and providers over the telephone, in person or in writing. (R) Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R) Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position. (R) Ability to maintain confidentiality. (R) Ability to comply with all SCFHP policies and procedures. (R) Ability to perform the job safely with respect to others, to property, and to individual safety. (R) WORKING CONDITIONS Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to frequent contact with and interruptions by co-workers, supervisors, and plan members or providers in person, by telephone, and by work-related electronic communications. PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: Mobility Requirements:regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) Lifting Requirements:regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R) Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) Dexterity Requirements:regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R) Hearing/Talking Requirements:ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) Reasoning Requirements:ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office conditions. May be exposed to moderate noise levels. EOE (function () { 'use strict'; social Share.init(); })();
    $54.6k-79.2k yearly 4d ago
  • Account Servicing Advocate I

    HMSA 4.7company rating

    Urban Honolulu, HI jobs

    a. Resolve enrollment, eligibility and billing issues and inquiries timely and accurately from members, employer groups and third party administrators by phone, email and written correspondence by: Researching and collaborating with other units or departments to find a solution Accurately updating member records Contacting external partners who provide services for/to HMSA's members Providing member or group education on enrollment, billing (bill resentment) and bill payment b. Support unit in performing enrollment and billing reconciliations activities for purpose of identifying discrepancies and initiating accurate and timely correction/resolution of internal as well as external processing systems. Support unit in daily enrollment functions to include processing of enrollments, disenrollment's and maintenance for members. Perform quality assurance audits of customer inquiries and member updates within constrained timeframes. Based on patterns or risk assessment, recommend improvement opportunities to provide processing efficiency and increase customer satisfaction. These can include but are not limited to identifying processing or servicing issues that can be addressed by a system or a workflow solution Training and Development Performs all other miscellaneous responsibilities and duties as assigned or directed.
    $33k-37k yearly est. 4d ago
  • Customer Service Representative (4-40 needed)

    Brightway Insurance 4.4company rating

    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
    $27k-33k yearly est. 20h ago
  • Account Servicing Advocate I

    HMSA 4.7company rating

    Keaau, HI jobs

    Resolve enrollment, eligibility and billing issues and inquiries timely and accurately from members, employer groups and third party administrators by phone, email and written correspondence by: Researching and collaborating with other units or departments to find a solution Accurately updating member records Contacting external partners who provide services for/to HMSA's members Providing member or group education on enrollment, billing (bill resentment) and bill payment Support unit in performing enrollment and billing reconciliations activities for purpose of identifying discrepancies and initiating accurate and timely correction/resolution of internal as well as external processing systems. Support unit in daily enrollment functions to include processing of enrollments, disenrollment's and maintenance for members. Perform quality assurance audits of customer inquiries and member updates within constrained timeframes. Based on patterns or risk assessment, recommend improvement opportunities to provide processing efficiency and increase customer satisfaction. These can include but are not limited to identifying processing or servicing issues that can be addressed by a system or a workflow solution Training and Development Performs all other miscellaneous responsibilities and duties as assigned or directed.
    $33k-37k yearly est. 4d ago
  • Customer Service Lead

    The Phoenix Group 4.8company rating

    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.
    $36k-46k yearly est. 20h ago
  • Bilingual English and Japanese Customer Service Representative

    Unitedhealth Group 4.6company rating

    Tampa, FL jobs

    $1000 Sign-On Bonus for External Candidates This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do.Or, the opposite, not being able to get the answers.At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives.If you're fluent in English and Japanese, we can show you how to put all of your skills, your passions and your energy to work in a fast - growing environment. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Customer Service Representative is responsible for handling all incoming Billing, Eligibility, benefits, claims, appeals and grievances calls, chat, e-mails and serving as the primary point of contact for departmental inquiries. This role provides expertise and customer service support to members, customers, and / or international providers through direct phone - based interactions, resolving a wide range of inquiries. This position is full time (40 hours / week). Employees must be willing to work any shift in a 24 / 7 department, including weekends, holidays, and occasional overtime based on business needs. We provide 12 weeks of paid training, which is mandatory (no PTO during this period). The hours during training will be 8:00am - 4:30 pm EST from Monday - Friday. After training is complete, your assigned shift will remain fixed. Training will be conducted virtually from your home. Primary Responsibilities: Ensures quality customer service for internal and external customers Responds to incoming customer service requests, both verbal and written (calls, emails, chats) Places outgoing phone calls to complete follow - up on customer service requests as necessary Identifies and assesses customers' needs quickly and accurately Solves problems systematically, using sound business judgment Partners with other billing and eligibility department representatives to resolve complex customer service inquiries Monitors delegated customer service issues to ensure timely and accurate resolution Applies appropriate communication techniques when responding to customers, particularly in stressful situations Informs and educates new customers regarding billing / invoicing set up and billing / payment procedures Addresses special (ad - hoc) projects as appropriate You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma / GED OR equivalent work experience Must be 18 years of age OR older 1+ years of customer service experience with analyzing and solving customer problems 1+ years of experience with Windows personal computer applications which includes the ability to learn new and complex computer system applications Bilingual fluency in English and Japanese Must be willing to work any shift in a 24 / 7 department, including the flexibility to work weekends, holidays, and occasional overtime based on business needs Preferred Qualifications: 2+ years of customer service experience in a call center environment Experience in the healthcare industry Telecommuting Requirements: Ability to keep all company sensitive documents secure (if applicable) Required to have a dedicated work area established that is separated from other living areas and provides information privacy Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service (UHG requires a wired internet connection: cable, DSL, or fiber internet service with upload and download speeds suitable for the role and approved by operations. Minimum speed standard is 20mbps download / 5mbps upload. Wireless service such as satellite, hot spot, line of sight antenna cannot be used for telecommuting.) Soft Skills: Comfortable with communicating via email, chat, and phone calls to provide support and resolve inquiries Understanding customer concerns accurately and responding appropriately Using sound judgment to resolve issues systematically *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 - $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RED
    $17.7-31.6 hourly 2d ago
  • Commercial Service Advisor

    Vizance 4.0company rating

    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!
    $34k-42k yearly est. 3d ago

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