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Centene Corporation Retention Call Center Representative in Rego Park, New York

HourlyPosition 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.

Educations/Experience:

  • High School Diploma required.

  • AA/AS - Associates Degree preferred.

  • Two to five years Customer Service experience required.

  • Two to five years of Customer Service in Healthcare experience preferred.

  • Driver’s License may be required by some plans.

  • Specific language skills may be required by some plans.

  • Proficiency in Microsoft Office: Excel, Word, Access; Lotus Notes; Internet.

  • Proficiency in one or more languages other than English.

  • Business Analysis Knowledge: Skilled to work in a fast paced environment. Must have strong analytical and problem solving skills.

  • Customer Service: Skilled to communicate with all levels of management, internal and external customers. Ability to work well as a member of a team or alone.

  • Effective Business Communication: Skilled in communicating with technical and business constituencies in writing effective business specifications and requirements.

TITLE: Retention Call Center Representative

LOCATION: Rego Park, New York

REQNUMBER: 1146691

COMPANY: Health Insurance Operations

POSITION TYPE: Hourly

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