Customer service specialist
SGS_JOB_1708
Admin/Clerical
Michigan
Health care coverage
Call Center
HIPAA
Contract - 3 Months + (Possibilities of Contract Extension)
We are seeking a customer service call center rep who will supporting our client and dealing with customers related to healthcare coverage and educating member and customer over phone and chat.
Job Responsibilities:
Respond to inquiries by telephone, mail and in person; research and answer inquiries, complaints and appeals by following all department standards, policies and procedures; direct inquiries to support departments for appropriate action and resolution.
Educate existing and potential members on policies, procedures, product offerings, benefit plan and coverage provisions related to all HAP products.
Document all incoming inquiries accurately in to track member inquiry history and trends.
Practice and maintain confidentiality to Privacy and HIPAA regulations.
Proactively seek training and development to enhance skills and abilities.
Monitor workflow inbox and outstanding cases to ensure that all inquiries receive an appropriate response in a timely manner; contact members (by phone/or in writing), as needed, to ensure timely resolution and follow-up to inquiry.
Interact with support departments in a professional manner to ensure member needs are met.
Develop and maintain strong business relationships with inter-departments; continue to self-educate on changes in policies and procedures that occur in other departments which could have an impact on department operations and the servicing of members/customers.
Attend training and development sessions or continuing education opportunities offered by Customer Service and maintain enhanced skill levels and performance.
I interact with providers and their staff to obtain information for resolving customer inquiries and complaints.
Ensure and maintain compliance with all department and corporate standards, policies and procedures.
Recommend process improvements based on observations and trends identified while interacting with internal and external customers.
Coordinate and assist with various departmental projects, member enrollment periods, outreach activities and corporate initiatives.
Perform other related duties as assigned
Skills:
Minimum of two (2) years of recent Customer Service or Call Center experience within the last three years.
A minimum of four (4) years of recent and related work experience in a customer service capacity may be considered in lieu of the degree
Education/Experience:
Course in Medical Terminology (required completion within six months post-employment).
-Associate's Degree
SGS_JOB_1708
Admin/Clerical
Michigan
Health care coverage
Call Center
HIPAA
Contract - 3 Months + (Possibilities of Contract Extension)
We are seeking a customer service call center rep who will supporting our client and dealing with customers related to healthcare coverage and educating member and customer over phone and chat.
Job Responsibilities:
Respond to inquiries by telephone, mail and in person; research and answer inquiries, complaints and appeals by following all department standards, policies and procedures; direct inquiries to support departments for appropriate action and resolution.
Educate existing and potential members on policies, procedures, product offerings, benefit plan and coverage provisions related to all HAP products.
Document all incoming inquiries accurately in to track member inquiry history and trends.
Practice and maintain confidentiality to Privacy and HIPAA regulations.
Proactively seek training and development to enhance skills and abilities.
Monitor workflow inbox and outstanding cases to ensure that all inquiries receive an appropriate response in a timely manner; contact members (by phone/or in writing), as needed, to ensure timely resolution and follow-up to inquiry.
Interact with support departments in a professional manner to ensure member needs are met.
Develop and maintain strong business relationships with inter-departments; continue to self-educate on changes in policies and procedures that occur in other departments which could have an impact on department operations and the servicing of members/customers.
Attend training and development sessions or continuing education opportunities offered by Customer Service and maintain enhanced skill levels and performance.
I interact with providers and their staff to obtain information for resolving customer inquiries and complaints.
Ensure and maintain compliance with all department and corporate standards, policies and procedures.
Recommend process improvements based on observations and trends identified while interacting with internal and external customers.
Coordinate and assist with various departmental projects, member enrollment periods, outreach activities and corporate initiatives.
Perform other related duties as assigned
Skills:
Minimum of two (2) years of recent Customer Service or Call Center experience within the last three years.
A minimum of four (4) years of recent and related work experience in a customer service capacity may be considered in lieu of the degree
Education/Experience:
Course in Medical Terminology (required completion within six months post-employment).
-Associate's Degree
Job ID: 487871518
Originally Posted on: 8/2/2025
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