Job Description
Job Description
Customer Services Specialist
Pride Health is hiring a Customer Services Specialist for one of its clients in Michigan.
This is a 3-month contract with a possible extension, with competitive pay and benefits.
Location – Farmington Hills, Michigan (48334).
Pay range - $18 - $20 per hour.
Length of assignment – 3-month contract
Shifts and Schedule – MONDAY - FRIDAY 9:00 AM -4:00 PM
Job Summary
This position has the following primary objectives with respect to customer relations for all HAP product lines:
(1) Provide follow-up and courteous and prompt resolution to member inquiries by conducting thorough investigations and fully educating members and customers.
(2) Support corporate and departmental goals, member enrollment activities, and product implementations.
(3) Research, investigate, and resolve service failures. Improve customer experience by identifying root causes, trends, and recommending resolutions for service recovery and retention.
(4) Educate members and prospective members to promote HAP as the health care coverage of choice.
Job Duties
· Respond to inquiries by telephone, mail, and in person; research and answer inquiries, complaints, and appeals by following all department standards, policies, and procedures; direct inquiries to support departments for appropriate action and resolution.
· Educate existing and potential members on policies, procedures, product offerings, benefit plans, and coverage provisions related to all HAP products.
· Document all incoming inquiries accurately to track member inquiry history and trends.
· Practice and maintain confidentiality with Privacy and HIPAA regulations.
· Proactively seek training and development to enhance skills and abilities.
· Monitor workflow inbox and outstanding cases to ensure that all inquiries receive an appropriate response promptly; contact members (by phone/or in writing), as needed, to ensure timely resolution and follow-up to inquiry.
Requirements
· Degree: High School.
· Minimum of two (2) years of recent Customer Service or Call Center experience in the healthcare domain within the last three years.
· Epic experience highly preferred.
Benefits
Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Equal Opportunity Employer
As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.
Company DescriptionPride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Company Description
Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.