Customer Service Specialist I

Customer Service Specialist I - RCSPL Canada Inc

Date Posted: Jul 29, 2022

Job Detail

Location:

Aylmer, Ontario, Canada
Company:

RCSPL Canada Inc
Type:

Full Time/Permanent
Shift:

Rotating
Career Level:

Entry Level
Positions:

5
Experience:

Entry Level
Degree:

Bachelors
Apply Before:

Aug 31, 2022

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Job Description

Job details

Job Type

Full-time

Benefits

Full Job Description

$3,000 sign-on bonus eligible position!

Resolve complaints and inquires and provide information to members, prospective members, providers, other insurance carriers, agents and brokers, attorneys, employer groups and other member or provider representatives in writing, in person and over the telephone. Issues may be health plan related (e.g. medical coverage, claims, referrals, eligibility) or delivery system issues (e.g., appointment access, medical center service complaints, physician selection, fee quotes, patient billing issues) or governance issues (e.g., voting member information, consumer governance policies).

Essential Responsibilities:

Responds to health plan, delivery system, and governance inquiries and complaints in writing and over the telephone.
Researches issues. Interact with other departments, physicians or administrators as needed. Resolve or escalate when appropriate.
Identify errors and determine what corrective steps need to be taken to resolve.
Interpret and apply all benefits according to appropriate contract.
Document all interactions in contract tracking system according to regulatory guidelines.

Basic Qualifications:

Experience

Minimum one (1) years of customer service experience.

Education

High School Diploma/GED.

License, Certification, Registration

Additional Requirements:

Communication, customer service, analytical and problem solving skills.

Ability to exercise discretion.

Computer skills in a Windows environment.

Preferred Qualifications:

Call center experience in a health care or insurance environment.

Associate's degree in a related field.

PrimaryLocation : Washington,Spokane,Admin. Center North, Spokane
HoursPerWeek : 40
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri
WorkingHoursStart : 08:00 AM
WorkingHoursEnd : 05:00 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : NUE-WA-04|NUE|Non Union Employee
Job Level : Individual Contributor
Job Category : Customer Services
Department : Spokane Admin North - HP Mgr_Member Services_HMO - 1130
Travel : No
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

Skills Required

COMMUNICATION

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Company Overview

RCSPL Canada Inc

Mississauga, Ontario, Canada

9 Current Jobs Openings

We, at Riddhi Corporate, focus on delivering excellent results for our clients and help make their business grow. We customized and adapt our outsourcing solutions to address the specific needs of your business and help you reach your business goals... Read More

Job Detail