Community Care Inc · 2 days ago
Customer Service - Customer Service Representative (Part Time) 105-1068
CommunityCare is seeking a part-time Customer Service Representative who will be the first point of contact for membership-related inquiries. The role involves providing outstanding service by answering questions about customer benefits, eligibility, and claims while ensuring customer satisfaction through effective problem resolution.
Health CareNon Profit
Responsibilities
Process a high volume of incoming inquiries regarding multiple products from members, providers, billing companies, individuals with legal representation, employer groups, and other insurance companies
Strive to achieve first call resolution by communicating accurate information efficiently and timely thereby creating a positive experience for the member
Verifies eligibility, benefits, deductible amounts, claim status, copays, coinsurance and all other information related to a customer and their benefits or a provider and their contract
Use effective listening skills to understand the needs and complaints of the customer to offer them the best possible solution and ensuring the member feels supported and valued
Resolve escalated customer issues received from the member, provider, employer groups or brokers while remaining calm and professional
Provide interpretation services for all product lines via the contracted language line service as appropriate
Flexible hours, including weekends and evenings, as department or training needs dictate and at the discretion of management may be required
Effective problem resolution skills that demonstrates balance of company and customer needs
Demonstrated ability and learning agility to adapt to organizational changes including business processes, systems and technology
Joining a team of Customer Service Representatives and building a positive relationship of teamwork, trust, reliability and excellence
Understanding and striving to meet or exceed call center metrics while providing excellent customer service
Taking part in training and other learning opportunities to expand knowledge of company and position
Perform other duties as assigned
Qualification
Required
Exceptional telephone manner, customer service skills, active listening skills, verbal and written communication skills
Ability to resolve conflict and diffuse tension
Strong time management skills and decision-making skills
Ability to read, comprehend, and explain health insurance benefits in a clear, concise, and professional manner
Ability to work under stress with production and quality standards
Proficient in Microsoft Office applications
Highly organized and attentive to detail
Flexibility, ability to adapt to change
Successful completion of Health Care Sanctions background check
High school diploma or equivalent required
1-year customer service experience with direct interactions with customers
Preferred
Contact center or medical field experience
Bilingual skills a plus
Company
Community Care Inc
Community Care is a local nonprofit with more than 45 years of experience helping older adults and adults with disabilities live as independently as possible within the community.
H1B Sponsorship
Community Care Inc 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
2025 (1)
2022 (2)
Funding
Current Stage
Late StageTotal Funding
unknown2024-09-18Acquired
Recent News
2025-02-19
Company data provided by crunchbase