• Customer Services Representative

    Job Locations US-NY-Brooklyn
    Req #
    106911
    Agency
    Elderplan
    Status
    Regular Full-Time
    Location : Postal Code
    11220
    Category
    Customer Service
    Office or Field
    Office-based
  • Overview

    The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

    Responsibilities

    Responds to member and provider inquires and requests concerning benefits, claims and complaints within a call center environment in order to ensure high quality customer service to members and providers. Receives calls from members and providers. Responds to customers complaints and grievances. Records all calls and detail. Receives requests for adjustments on claim issues. Receives requests for disenrollment.

    Qualifications

    • High School Diploma.
    • 3-4 years’ experience in customer service in a healthcare environment.
    • Prior experience in one or more of the following: Medicare, health insurance, geriatric population and or utilization/care management process is preferred.
    • Microsoft Word and Excel required.

    Benefits

    We truly value our staff and further acknowledge their contributions by offering:

    • Employee and family health coverage
    • Competitive salaries
    • Employer contributed pension plan
    • Generous time off
    • Tuition reimbursement
    • 403(b) retirement plan

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