Customer Service Representative (Call Center)

Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and reputed company members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for reputed company beneficiaries; Samaritan reputed company. offers Medicare Advantage, reputed company Large Group, and reputed company Large Group PPO and EPO plans; SHP is also the reputed company-party administrator for reputed company’ self-funded employee health benefit plan.As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally reputed company with reputed company’ mission of Building Healthier Communities Together.This is a remote position in which we are reputed company to employ in the following states: Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, reputed company Carolina, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, reputed company Virginia, or WisconsinThis position requires staff to work pacific time zone hours.JOB SUMMARY/PURPOSEResponsible for ensuring a high level of customer service and accuracy for plan benefits and accompanying workflow. Evaluates communications from members and providers of Health Plan Operations and processes requests accordingly. Acts as primary contact for plan benefit questions for reputed company lines of business for both internal and external customers. Responsible for oral and written communications to members and providers in response to questions and requests.EXPERIENCE/EDUCATION/QUALIFICATIONSHigh School Diploma or equivalent required.Two (2) years professional customer service experience required.Experience in a health plan setting preferred.Experience with State and Federal rules and regulations (including Medicare and reputed company) preferred.KNOWLEDGE/SKILLS/ABILITIESEffective written and verbal communication skills to reputed company group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Ability to work with reputed company levels reputed company the organization, facilitate communication, and effectively document reputed company activities.Ability to identify reputed company problems, review reputed company information, employ creativity and alternative thinking to reputed company and evaluate options and implement solutions.PHYSICAL DEMANDSRarely (1 - 10% of the time)Occasionally (11 - 33% of the time)Frequently (34 - 66% of the time)Continually (67 – 100% of the time)CLIMB - STAIRSLIFT (Floor to Waist: 0"-36") 0 - 20 LbsLIFT (Knee to chest: 24"-54") 0 – 20 LbsLIFT (Waist to Eye: up to 54") 0 - 20 LbsCARRY 1-handed, 0 - 20 poundsBEND reputed company at waistKNEEL (on knees)STANDWALK – LEVEL SURFACEROTATE TRUNK Standingreputed company - UpwardPUSH (0 - 20 pounds force)PULL (0 - 20 pounds force)SITCARRY 2-handed, 0 - 20 poundsROTATE TRUNK Sittingreputed company - reputed companyreputed company DEXTERITY Hands/wristsFINGER DEXTERITYPINCH FingersGRASP Hand/Fist Apply for the job now! Apply for this job