**Experienced Customer Service Associate - Remote Health Plan Support**

Remote, USA Full-time
At arenaflex, we're dedicated to delivering exceptional customer experiences and fostering a culture of care and compassion. As a valued member of our team, you'll play a vital role in providing top-notch support to our customers, ensuring their needs are met with professionalism, empathy, and expertise. **Job Summary:** We're seeking a highly motivated and customer-focused individual to join our remote team as a Customer Service Associate. As a key member of our call center, you'll be responsible for providing exceptional service to our customers, addressing their inquiries, and resolving their concerns in a timely and efficient manner. If you're passionate about delivering outstanding customer experiences and have a strong desire to serve, we encourage you to apply for this exciting opportunity. **Primary Accountabilities:** As a Customer Service Associate, you'll be responsible for the following key areas: ### Quality/No Harm * Properly identify and elevate concerns that affect customers or arenaflex's ability to serve them. * Provide accurate and professional service to customers, adhering to department policies and guidelines. * Attend and participate in staff training sessions, surveys, and department meetings to stay up-to-date on industry developments and best practices. * Maintain confidentiality at all times, following departmental and organizational confidentiality guidelines. * Contribute towards meeting departmental performance goals, including average speed of answer, service level, and abandonment rate. ### Customer Experience * Respond to customer inquiries by researching, understanding, and documenting plan information related to: + Covered benefits and exclusions, including prescription drug coverage + Eligibility, enrollment, and disenrollment + Participating providers + Claims payments and processes + Authorization processes + Premium billing + Plan guidelines * Assist Health First Health Plans customers in a caring and knowledgeable manner, representing the organization as a skilled healthcare professional. * Handle incoming sales inquiries from prospective customers by answering basic questions and referring to a licensed sales agent for closure. * Provide assistance with customer service walk-in members in a timely and efficient manner. ### Stewardship * Meet individual Call Center performance standards as determined by management. * Properly identify and elevate concerns affecting customers or arenaflex's ability to serve them. * Participate in special projects as requested or approved by management. **Qualifications:** To be successful in this role, you'll need to possess the following qualifications: ### Qualifications Required * The highest level of education desired for candidates in this position is a High School diploma, G.E.D., or equivalent experience. Some college preferred. * One year related work experience in a call center or customer service environment interacting with customers. * Must be able to work the designated shift and overtime as needed. * Must be able to talk and type at the same time and communicate effectively while multitasking. * Must be able to navigate through multiple screens and computer applications while reviewing benefit information. * Ability to accurately type 45 words per minute while speaking with a customer on the phone. * Intermediate to Advanced computer skills, including Microsoft Applications. * Bi-lingual candidates must be able to speak, read, write, and comprehend in Spanish and English. * Certification required by passing the Bi-lingual/Medical Interpretation test, provided by ATLA at Health First CFL. ### Physical Demands * Ability to sit and view a computer screen for several hours at a time. * Work effectively in a fast-paced and often stressful environment. ### Mental Demands * Excellent verbal, interpersonal, and written communication skills. * Superior customer service telephone skills, including active listening and questioning skills. * Basic math, analytical, and problem-solving skills. * Ability to think critically to define issues, identify risks, and propose outcomes. * Maintaining a high level of motivation, initiative, and accountability. * Organization, prioritization, and time management. * Ability to interact professionally and work effectively as a team with all levels of employees and management. * Handling multiple tasks, often within limited time frames. * Must be able to work in a team environment illustrating cooperation and respect. * Excellent attendance is required and ability to work a flexible schedule. * Strong knowledge of customer care processes and techniques **What We Offer:** As a valued member of our team, you'll enjoy a range of benefits, including: * Competitive compensation and benefits package * Opportunities for career growth and professional development * Collaborative and dynamic work environment * Recognition and rewards for outstanding performance * Flexible scheduling and remote work options * Comprehensive training and support **How to Apply:** If you're passionate about delivering exceptional customer experiences and have a strong desire to serve, we encourage you to apply for this exciting opportunity. Please submit your application through our website, including your resume, cover letter, and any relevant certifications or qualifications. **Equal Employment Opportunity:** arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment that values diversity, equity, and inclusion. **Contact Us:** If you have any questions or would like to learn more about this opportunity, please don't hesitate to contact us at [insert contact information]. We look forward to hearing from you! Apply for this job
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