Customer Service Coordinator I jobs in United States
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Qlarant · 1 month ago

Customer Service Coordinator I

Qlarant is a not-for-profit corporation that partners with public and private sectors to enhance health care and human services delivery. The Customer Service Coordinator I role involves receiving and resolving complaints related to Medicare Advantage or Prescription Drug Programs, conducting interviews, and performing research to determine case disposition.

Information ServicesInformation Technology

Responsibilities

Communicates with beneficiaries, plans, pharmacies, and providers as needed to resolve complaints
Evaluates the facts of a complaint and researches additional information as necessary
Compiles findings and determines if appropriate for closure or presentation to Level II team
Handles a wide variety of confidential situations
Performs data entry of complaints into the case management system and a variety of other databases
Performs minor background research on subjects of interest as required for the screening of complaints
Prepares appropriate letter templates and/or revises the content based on the facts presented in the complaint
Communicates with external customers including beneficiary or individual complainants, representatives from the Senior Medicare Patrol, Plan Sponsors, CMS, and others

Qualification

Complaint resolutionData entryResearch skillsCommunication skillsConfidentiality handling

Required

Minimum High School Diploma or GED required
0 - 2 years of experience required

Preferred

2 - 4 years preferred

Company

Qlarant

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Qlarant is a not-for-profit, nationally respected in fighting fraud, waste, and abuse—improving program quality, and optimizing performance.

Funding

Current Stage
Late Stage

Leadership Team

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Christine Leister
Chief Financial Officer
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Company data provided by crunchbase