CCO Service Agent

🕒 4 days ago

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Healthfirst

1001 - 5000 employees

Founded 1993

⚕️ Healthcare Insurance

💸 Finance

Healthcare Insurance • Finance • Medicare

Healthfirst is a health insurance provider dedicated to helping New Yorkers access affordable health coverage for individuals and families. With over 30 years of experience, Healthfirst offers a range of plans including Medicaid managed care, Medicare Advantage, long-term care, and essential health plans. The company focuses on providing quality healthcare options, comprehensive benefits, and support to ensure members can maintain their health and well-being.

📋 Description

• Provides excellent quality customer service to our members and/or providers relating to all aspects of member/provider questions and issues such as eligibility, benefits, claims process, escalations, and product questions, etc. • May include but is not limited to inbound/outbound calls/emails/chats, onsite/remote/virtual/field location, on behalf of CCO. • Meets/Exceeds all performance KPIs including but not limited to quality, productivity, and dependability • Follows established policies and procedures to ensure member and provider issues are addressed timely and accurately • Identifies and de-escalate situations where member/provider is upset and provides resolution for their issue.

🎯 Requirements

• High School Diploma or GED from an accredited institution • Prior experience in a customer service environment • Experience participating in cross-functional projects and departmental initiatives related to customer/client interaction and customer service. • Working experience in a fast-paced environment. • Proficient in Microsoft Office Suite applications including Excel, Word, and Outlook.

🏖️ Benefits

• medical, dental and vision coverage • incentive and recognition programs • life insurance • 401k contributions

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