EmblemHealth · 20 hours ago
Customer Service Representative: In-Person Hiring Event
EmblemHealth is a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. They are seeking a Customer Service Representative to handle inquiries from subscribers and providers related to various health plans, ensuring accurate and timely responses.
InsuranceNon ProfitWellness
Responsibilities
Receive, answer and/or record telephone/correspondence/e-mail inquiries from subscribers, providers, and other consumers relating to areas of coverage, payment of claims, membership status, medical management intake calls, etc., under the various EmblemHealth medical/surgical, dental, hospital and Medicare plans
Review inquiries, correspondence and email receipts. Prepare email resolutions, letters (form or narrative letter) and/or claims payment process adjustments
Perform written and verbal duties of the position to meet company goals for production and accuracy
Perform related claims approving and clerical work as assigned
Perform other duties as assigned or required
Regular attendance is an essential function of the job
Qualification
Required
Must be able to work under pressure, handle stressful situations effectively and deal politely with subscribers and providers on the telephone, in person, and email/correspondence
Ability to detect and relate problem service issues to management
Ability to speak well on the telephone and maintain a positive telephone personality
Must be able to compose clear concise letters
If designated, sort and screen correspondence receipts and resolve via coding of additional payment, possibly including salvage and/or completion by letter
Typing and PC skills
Ability to adapt to change and address multiple issues simultaneously
Good organizational skills
Must be available for training
A minimum of two (2) years' experience in customer service; one year must be in a call center setting
Preferred
A college degree is preferred
Health insurance experience is a plus
Benefits
Competitive health and wellness benefits
Company
EmblemHealth
EmblemHealth is an insurance and wellness company that offers health benefits to consumers, employers, and government purchasers.
H1B Sponsorship
EmblemHealth has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (2)
2023 (2)
2021 (2)
2020 (4)
Funding
Current Stage
Late StageRecent News
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