CCO Service Agent

Skills
Analytical SkillsContact Center OperationsContact CentersContent Management SystemsCustomer Relationship ManagementHealthcareRoot Cause
Role

What the job involves

The main requirements, responsibilities and hiring steps.

Requirements

  • High School Diploma or GED from an accredited institution
  • Prior experience in a customer service environment
  • Experience participating in cross-functional projects and departmental initiatives related to customer/client interaction and customer service
  • Working experience in a fast-paced environment
  • Proficient in Microsoft Office Suite applications including Excel Word and Outlook
  • Associate’s or Bachelor’s Degree from an accredited institution or equivalent work experience
  • Proven track record of exercising independent thinking problem solving and achieving goals
  • Knowledge and experience with a traditional and/or omnichannel contact center with emphasis in the healthcare industry
  • Experience navigating multiple technologies including a Customer Relationship Management System
  • Basic knowledge of operational health plan departments and functionality
  • Working knowledge of Microsoft Office Power Point
  • Excellent verbal and written communication and the ability to document grammatically correct emails communications and presentations
  • Basic understanding of call center metrics including Average Handle Time AHT Quality etc

Nice to have

  • Independent thinker
  • Problem solver
  • Detail oriented
  • Adaptable
  • Team player
  • Customer focused

Day to day

  • Provides excellent customer service to members and providers across eligibility benefits claims and product questions through calls emails chats and other contact channels.
  • Resolves complaints de-escalates upset customers and supports investigations root cause analysis and follow-up actions to improve service outcomes.
  • Maintains accurate documentation protects confidential health information and works flexibly across late shifts weekends holidays and service disruptions.