Location listed: Rochester, NY, US. Remote does not always mean you can work from every country; check the employer posting for restrictions.
Salary
Salary not listed
NewDesignfull-timemidUnverified
About the role
Essential Duties and Responsibilities
Answer incoming customer inquiries received via telephone, Interactive Voice Response (IVR), web chat functions, or other approved contact channels in accordance with performance standards, policies, procedures, and confidentiality and privacy requirements.
Provide accurate information regarding programs and services to consumers, prospective enrollees, individuals acting on behalf of enrollees, health plans, and providers.
Track, document, and record all customer interactions, inquiries, complaints, comments, actions taken, and transactions in applicable systems.
Complete associated tasks and transactions according to established guidelines to ensure accuracy and completeness.
Navigate multiple computer systems while interacting with customers and perform data entry accurately.
Facilitate fulfillment of customer requests for materials via mail, email, or electronic delivery as appropriate.
Transfer or refer customers to appropriate internal or external entities in accordance with established guidelines.
Address customer inquiries and resolve routine issues to ensure appropriate actions or updates are completed.
Escalate unresolved, complex, or sensitive issues or grievances to designated staff or departments for further investigation or resolution as needed.
Facilitate translation or interpretation services for non English speaking customers according to procedures.
Communicate with supervisors regarding potential needs, concerns, or issues impacting service delivery.
Meet Quality Assurance (QA), productivity, and other key performance metrics.
Attend required meetings and trainings and maintain up to date knowledge of all programs, systems, policies, and procedures.
Perform other related duties as assigned by management.
Responds to all inquiries consistent with confidentiality and privacy policies and refers callers to alternate sources when appropriate.
T rack and document all inquiries using the applicable systems.
Responsible for adhering to established safety standards.
Must be able to remain in a stationary position for an extended period of time.
Occasionally lifts, carries, or otherwise moves items weighing up to 25 pounds.
Performs other duties as assigned by management.
Minimum Requirements
High school diploma or GED required and 0-6 months of relevant professional experience required, or equivalent combination of education and experience.
Residency within 100 miles of Rochester, NY.
Strong data entry and telephone skills.
Excellent o rganizational, interpersonal, written, and verbal communication skills.
Ability to perform comfortably in a fast-paced work environment.
Ability to successfully execute many complex tasks s imultaneously.
Ability to work as a team member, as well as independently.
Previous experience with computers, phone systems, and headsets preferred.
Previous experience in customer service preferred.
Home Office Requirements - Internet speed of 20mbps or higher required (you can test this by going to [application details available after applying]).
Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router.
Must currently and permanently reside in the Continental US.
EEO Statement
the company is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
the company compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of the company's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, the company provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. the company will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
the company provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medi
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