Call Center Customer Service Representative

Job details are Shared below: Job Title: Customer Experience Associate ILocation: Remote (only California)Job Duration: 6+m Contract with potential for conversionPrimary Skills: Experience with Customer service and Call center (United Healthcare, Kaiser, Caremark)Experience with Healthcare or similar DomianAdequate Hard wired Internet speed (100-300 mbps minimum).Responsibilities:Researches, articulately communicates medical information regarding a variety of services including: educating providers on claims, member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality/Protected Health Information (PHI)Meets key performance indicators and service standards while showing compassion to members and providers per Magellan's values and missionIdentifies and responds to crisis calls with appropriate resourceFacilitates routine referrals and triage decisions not requiring clinical judgmentComprehensively assembles and enters patient information into the appropriate delivery systemDemonstrates flexibility in areas such as job duties and schedule to aid in better serving members and help Magellan achieve its business and operational goalsSupports team members and participate in activities to help build a high-performance teamAssumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal)Responsible for staying abreast of operational changes, updating self to ensure accuracyAssists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficienciesLeads or participates in activities as requested that help improve Care Center performance, quality, and cultureNavigate Magellan's systems, document customers' comments/information and forwards required informationResponsible for reading and retaining information disseminated through multiple resources, ensuring calls are addressed accurately and appropriately per account information.Summary:Customer advocate role supporting our members and providers, facilitating care and service. This is a service position providing assistance to Magellan's members, providers, and clients regarding various aspects of our programs, policies, and procedures. Responsibilities include handling incoming/outgoing calls related to healthcare related benefits. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations are to provide outstanding service to internal and external customers and strive to resolve callers' needs on the first call. Performance expectations are to meet and/or exceed customers' expectations and our quality standards.Qualification:Bachelor’s degree in Public Administration, Human Resources, Business, or related field (or equivalent experience).Please respond at the earliest to speed up the interview process. I will contact you if I need further details.Amit BundeleTechnical RecruiterPhone : 669-319-4167Email : amitb@San Jose, California

Created: 2025-06-22