Spherion Charleston, IL, United States
Jul 12, 2017Contractor
CID Customer Service Representative The CID Customer Service Representative is responsible for assisting potential new members with the enrollment process and assisting existing members with making changes to their policies. In addition, they will provide Members with their current benefit information, resolve questions concerning claims for medical and prescriptions coverage by occasionally contacting providers and pharmacies, and assist Members with updating account information. This position requires representatives to pass the Illinois Health & Accident Producer Exam and complete the licensing process through the Department of Insurance. The ideal candidate must be able to multi-task, have previous customer service experience/insurance work experience, and ability to think quickly, problem solve and be productive in a fast paced environment while adapting well to change. This is a full time position (40 hours a week). Job Description: Assisting potential new members and existing members of a major health insurance provider with Medicare Part C plans, Medicare Part D plans, Medicare Supplement Plans, and ACA compliant plans. Capturing caller information and sending out pre-enrollment packets or scheduling meetings Assist potential new members in selecting the health insurance plan that best meets their needs and completing applications Working with the Federal Marketplace to assist members with enrollment questions and issues Assist existing members in selecting the health insurance plan that best meets their needs for the upcoming year by explaining plan changes and alternative plans Explaining plan benefits, including verification of provider status and coverage of medications Reviews submitted claims and determine if charges were considered correctly under the subscriber’s benefit plan. If so, explain to the subscriber how the determination was reached. If not, determine what further action needs to be taken. Review subscriber’s Evidence of Coverage and on-line resources to determine how charges will be considered in accordance with their plan. Provides detailed benefit information if procedure / diagnosis code available, general information if not. Assist members with locating in-network providers, pharmacies, and facilities. Assist members with premium questions and acceptance of payments Required Qualifications Typical schedule requires work every other weekend, based on the needs of the business. Good written and verbal communication skills Strong customer service skills Ability to multitask and use multiple complex systems on multiple platforms Ability to look at complex issues and identify the problem using multiple systems Ability to remain calm under pressure and handle upset callers Active listening skills and ability to ask clarifying questions to gain understanding Problem solving skills Ability to adapt to changing situations Must demonstrate patience and compassion toward callers Ability to take constructive criticism and have a willingness to change Basic math skills (add, subtract, multiply, percentages) Maintain confidentiality and professionalism You must be at least 18 years old and pass a background screening and drug test Must either currently hold an Illinois Health and Accident Producer Licenses or successfully complete the pre-licensing education during training and pass the state exam Limited spaces still available! Call today to set up your interview 217-487-4343!