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Member Support Representative (Healthcare)

Rancho Cordova, CA

Employment Type: Contract To Hire Position: Customer Service Branch: Rancho Cordova

Wollborg Michelson is building a team of dynamic and professional CMember Support Representatives for a well-known healthcare insurance company located in Rancho Cordova, CA.

 

Job Responsibilities:

-Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources

-Provide assistance to members and/or providers regarding website registration and navigation

-Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application

-Process written customer correspondence and provide the appropriate level of timely follow up

-May coordinate member transportation and make referrals to other departments as appropriate

-Maintain performance and quality standards based on established call center metrics including turn-around times

-Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment

-Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction

Education/Experience:

-High school diploma or equivalent.

-1+ years of call center customer service experience preferably in a healthcare or insurance environment, or 2+ years of consistent customer service experience.

Christine Carter-Johns
Recruiter

A graduate of Tennessee State University and Seton Hall University, Christine is a native Californian and can best be described as enthusiastic and self-motivated. She comes to Wollborg Michelson with more than 10 years of corporate and nonprofit experience in Communications and Marketing, and gladly welcomed the opportunity to transition to the Recruiting industry. During her career, she spent time working in Corporate Communication, Event Management and Public Relations. She enjoys meeting new people and looks forward to using her skills to thrive in Recruiting. 

In her spare time, Christine can be found reading, traveling, participating in community service activities, and trying new restaurants.

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