You could be the one who changes everything for our 25 million membersCentene is transforming the health of our communities, one person at a timeAs a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position purpose:
Provides assistance to members and prospects with any related member issues to rectify them as efficiently as possible; tracks and documents every interaction accurately in the member`s account while adhering to prescribed protocols and staying in compliance with regulatory guidelines.
Respond to customer`s calls within designated time frames and perform troubleshooting procedures to determine the nature of the inquiry or issue to the satisfaction of the customer; clarify the customer`s inquiry; determine the cause of the problem; select and explain the best solution to solve the concern and expedite correction or adjustment as needed; follow up with customers to ensure resolution.
Follow organization standards to maintain excellent quality service.
Complete all necessary paperwork and documentation; provide education to the caller for more effective troubleshooting in the future.
Input and edit information or data to document inquiries and correspondence.
Develop and utilize a filing and retrieval system to access records or information.
Our comprehensive benefits package:
Flexible work solutions including remote options, hybrid work schedules and dress flexibility
Competitive pay
Paid time off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development
Educations/experience: high school diploma requiredAa/as - associates degree preferredTwo to five years customer service experience requiredTwo to five years of customer service in healthcare experience preferredDriver’s license may be required by some plansSpecific language skills may be required by some plans.
Proficiency in microsoft office: excel, word, access; lotus notes; internetProficiency in one or more languages other than englishBusiness analysis knowledge: skilled to work in a fast paced environmentMust have strong analytical and problem solving skillsCustomer service: skilled to communicate with all levels of management, internal and external customersAbility to work well as a member of a team or aloneEffective business communication: skilled in communicating with technical and business constituencies in writing effective business specifications and requirements.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are differentAll qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
