Customer Service Representative III (Minneapolis, MN)

Customer Service Representative III

Are you looking to start a career and be part of a team with a great company Humera has multiple positions available for Customer Service Representatives with a major health care provider in Minnetonka. The Health Plan Specialist III is responsible for managing all inquiries from active terminated and prospective members of our client. The Health Plan Specialist III is a primary contact for members to resolve service problems for claims enrollment billing pharmacy as well as interpreting contracts and explaining benefits. They are responsible for exceptional levels of service satisfaction providing quality service and the service recovery process. The service recovery process is critical to the success of the department. The Health Plan Specialist III will use this process to assist members in complex situations. This is a long term contract opportunity with a < B> Temp-to-Hire< b> option for top performers Duties The Health Plan Specialist III is responsible for identifying researching and resolving member and all other internal and external customer concerns problems and issues in a timely and courteous manner Health Plan Specialist III s are expected to work with enrollment billing and other departments within the company to resolve member issues The Health Plan Specialist III s typically interact with a number of external and internal customers External customers include the following active terminated and prospective customers (providers and third-party administrators) Internal customers include employees in medical management enrollment billing claims sales marketing and legal Outside vendors may include pharmacy benefits managers behavioral health and dental providers Requirements 1-2 years customer service experience required Associate s degree or equivalent work experience required. Bachelor s degree preferred. Excellent verbal and written communication skills The Customer Service department s leadership is very focused toward the common goal of delivering high quality service to customers The department encourages team interaction and support of each other in dealing with customer issues Advanced ability to multi task and manage time efficiently is needed An ability to identify process improvements provide mentor and peer feedback and develop knowledge of multiple products and platforms is required Demonstrated ability to learn quickly and respond well to a rapidly changing industry and operational environment