Job Details

ONSITE

Minimum Resource Qualifications:
Level I

Post-secondary education with the equivalent of 2-4 years formal education/training and/or public business experience

NYS Life, Accident & Health License

Knowledge of Medicare Division and the Centers for Medicare and Medicaid Services

A Bachelor's degree is preferred

Effective and diplomatic communication skills including oral, written and listening- Organizational, reasoning, and problem-solving skills

Strong keyboarding and PC Skills required

Knowledge of coverage and lines of business products, services, and policies

Medical terminology is desirable

Physical Requirements:

Must be able to function for long lengths of time sitting at a desk using a keyboard.

Will need the ability to use a headset to listen to customer conversations

Summary Description:
Under the general direction of the Supervisor, performs a variety of functions including responding to all member inquires through incoming phone calls, faxes, email, and written correspondence, providing accurate responses in a timely manner. Accountable for providing a positive member experience by consistently showing professionalism, empathy, and respect in their interactions with both internal and external customers. In accordance with established policies and procedures, performs a variety of administrative and member support tasks. Responsible for contributing to meeting and/or exceeding the service level goals and compliance in accordance with corporate performance guidelines and standards set forth by the Medicare Division and the Centers for Medicare and Medicaid Services. Accountable for meeting individual performance goals established by management.