Broker Concierge Sales and Service Associate II

🕒 il y a 1 mois

🏈 Ohio – Distant

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💵 $41 200 - $66 000 / an

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🤑 Commercial

🚫👨‍🎓 Aucun diplôme requis

🦅 Parrain de Visa H1B

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👻 Score fantôme 9%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of CareSource

CareSource

1001 - 5000 employés

Fondée en 30+ years

🏥 Santé

🛡️ Assurance

⚕️ Assurance santé

Healthcare • Insurance • Healthcare Insurance

CareSource est une entreprise de services de santé axée sur la fourniture d'assurances santé abordables et de solutions de soins de santé. Elle propose une large gamme de plans incluant Medicaid, le Marketplace et Medicare Advantage, visant les adultes à faible revenu, les familles, les enfants, les femmes enceintes, les personnes âgées et les personnes handicapées. De plus, CareSource fournit à ses membres des ressources pour le soutien COVID-19, des avantages dentaires, visuels et auditifs, ainsi que des services de pharmacie. L'entreprise met l'accent sur l'accès facile à la gestion des soins de santé via des plateformes en ligne et une application mobile.

Description

• Research and resolve complex pre- and post-enrollment issues for broker enrollees through first-call resolution or case management • Collaborate virtually with departments to resolve member issues and broker escalations • Complete broker-related research, fulfillment, and inquiry requests • Access and extract data from primary and secondary sources in various formats • Research vendors, third-party systems, health plan sites, portals, reference materials, and custom tools to identify information accuracy and root causes • Process aging broker/member request inventory through full resolution • Work with business owners to identify root causes and remove member service barriers • Use benefit coverage resources to accurately respond to inquiries • Log broker interactions in databases for tracking and analysis • Troubleshoot escalated member issues reported by brokers • Conduct follow-up calls for unresolved dental, pharmacy, and other benefit inquiries • Process pharmacy overrides and rejections • Assist prospective members with selecting and enrolling in CareSource exchange health plans • Educate members on benefits, services, premiums, co-pays, and coinsurance • Answer Healthcare Exchange inquiries and assist with enrollment applications • Serve as a subject matter expert on CareSource exchange healthcare plans and product lines • Perform other related duties as requested

🎯 Exigences

• High School or GED required • Associate degree preferred • Three (3) years of customer service, sales support, or related experience required • Commercial insurance sales experience preferred • Computer proficiency in a Windows environment • Typing speed of 35 words per minute (WPM) • Maintain regulatory knowledge for ODI, CMS, and CareSource requirements • Strong written and verbal communication skills • Professional phone etiquette and proper grammar • Ability to work in a fast-paced, constantly changing environment • Customer service experience • Self-management and time-management skills • Ability to work independently and within a team environment • Critical thinking, listening, decision-making, and problem-solving skills • Confidence and positivity • Sales skills to meet enrollment objectives • Professional telemarketing skills • Current, unrestricted State Insurance license in Accident and Health in the state of practice within assigned territory may be required, or ability to achieve license(s) within 30 days of hire required • For Federally-Facilitated Marketplace states, Health Insurance Marketplace certification and annual recertification are required

🏖️ Avantages

• Base compensation of $41,200.00–$66,000.00 • May qualify for a bonus tied to company and individual performance • Substantial and comprehensive total rewards package • Employee total well-being support

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