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[Remote] Customer Service Representative (Remote)

Remote · Colombia Full-time

Note: The job is a remote job and is open to candidates in USA. HealthPlanOne is dedicated to helping people find the right health insurance at the right price. They are seeking a motivated and compassionate Customer Service Representative to provide exceptional support and care to clients through retention calls, health assessments, and enrollment verification initiatives.

Responsibilities

  • Reach out to current clients to address their questions and needs
  • Focus on the 3 R’s of customer loyalty: retention, related sales, and referrals
  • Provide exceptional service to retain customers and encourage word-of-mouth marketing
  • Conduct thorough assessments to maximize the resources available to clients
  • Identify and provide additional benefits that clients may qualify for
  • Document and share impactful stories of client assistance on SharePoint under the "Make A Difference" folder
  • Collaborate with carriers to acknowledge and celebrate these success stories
  • Conduct Enrollment Verification calls with the following objectives:
  • Verify that the customer understands the plan they enrolled in and its start date
  • Ensure accurate contact information is on file and capture the customer's email address
  • Confirm that the Agent of Record (AOR) has reviewed the customer's doctors and medications
  • Verify that the AOR has discussed out-of-pocket costs, including doctor visit copays, drug copays, and any applicable deductibles
  • Inform customers about what to expect in the coming weeks and ensure they know to contact us (not the carrier) with any questions

Skills

  • Previous experience in customer service, preferably in the healthcare or insurance industry
  • Strong communication and interpersonal skills
  • Ability to handle sensitive information with confidentiality
  • Proficiency in using SharePoint and other customer management tools
  • Problem-solving skills and the ability to think on your feet
  • A compassionate and patient approach to client interactions
  • High School Diploma or equivalent
  • Familiarity with CRM systems and practices
  • Prior experience with Medicare
  • Previous training and experience in or related to healthcare insurance

Company Overview

  • HPOne is a singular vision create custom sales,marketing and contact center solutions exclusively for the health insurance industry. It was founded in 2006, and is headquartered in Trumbull, Connecticut, USA, with a workforce of 501-1000 employees. Its website is https://hpone.com/.
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