FC
Customer Service Representative
First Connect
🇺🇸 United States
On-site
4 weeks ago
- CMS
- Health insurance
4 weeks ago
Not enough detail in this posting to match
Formal Education Required:
High School Diploma or GED Associate's or BA/BS preferred
Experience & Training Required:
Two years of experience in a call center, customer service, or support role in the health insurance industry performing same or similar responsibilities which includes any combination of the following:
Customer service experience dealing with Medicare beneficiaries,
Understanding of Medicare / health insurance compliance
Working knowledge of Medicare, plan design and benefits
Two (2) years of experience in the health insurance industry strongly preferred
Other Skills, Competencies and Qualifications:
Possess working knowledge of Center for Medicare and Medicaid Services (CMS) rules and regulations related to Medicare Advantage plans
Assists member in selection of most appropriate plan based on information provided by member and with member input. Completes plan change request from one SummaCare MA-PD plan to another.
Assists with administrative tasks around tracking and monitoring of number of plan change requests received and other tasks to support successful completion of plan change requests.
Makes outbound calls to members as needed during AEP timeframe to inform of specific plan or network changes/information.
Assists with educating members who inquire to ensure member needs are met and their questions and concerns are addressed.
Communicates to Medicare beneficiaries accurately to ensure understanding of the product choices available to them during the enrollment process and enrolls prospective beneficiaries into plan of choice.
VivPost
Customer Service Representative · First Connect