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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong customer service skills, including problem-solving, effective communication, and the ability to analyze and respond to customer needs. Proficient in using digital tools and maintaining detailed documentation in a fast-paced environment.
Highest-signal resume keywords
Bilingual (Spanish) SkillsCustomer Service ExperienceProblem-Solving AbilitiesStrong Verbal and Written Communication SkillsAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisInformation ExtractionDocumentationAutomated Customer ServiceMulti-Tasking
Soft Skills
EmpathyPersistenceCritical Thinking
Tools & Technologies
PC/Image StationComputerized Systems
Certifications & Qualifications
High School Diploma or Equivalent
Industry Keywords
Insurance BenefitsProvider ContractsEligibilityClaimsCustomer Relations
About the role
Key responsibilities & impact- Complete required basic training
- Respond to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims
- Analyze problems and provide information and solutions
- Operate a PC/image station to obtain and extract information
- Document information, activities, changes, and inquiry outcomes in the database
- Develop and maintain positive customer relations
- Coordinate company functions to handle customer requests and questions appropriately and promptly
- Research and analyze data to address operational challenges and customer service issues
- Provide external and internal customers with requested information
- Receive and place routine follow-up telephone calls and emails
- Use computerized systems for tracking, information gathering, and troubleshooting
- Seek, understand, and respond to internal and external customer needs and expectations
- Perform other duties as assigned
Requirements
What you’ll need- Requires a HS diploma or equivalent
- Previous experience in an automated customer service environment
- Any combination of education and experience which would provide an equivalent background
- Must pass the appropriate pre-employment test battery
- Bilingual (Spanish) or multi-language skills required
- Must be able to pass a validated language test/assessment
- Must be within a reasonable commuting distance from the posting location(s), unless accommodation is granted as required by law
- Ability to work from the office as necessary
- Ability to handle calls, texts, facsimiles, and electronic queues while simultaneously taking notes and speaking to customers
- Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment
- Strong verbal and written communication skills
- Attention to detail, critical thinking, and problem-solving abilities
- Empathy and persistence to resolve caller issues completely
- Comfort and proficiency with digital tools and platforms
- Ability to work a structured schedule with occasional overtime or flexibility based on business needs
Benefits
Comp & perks- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short-term disability benefits
- Long-term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources