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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong verbal and written communication skills while providing exceptional customer service in a fast-paced environment. Proficient in problem-solving, critical thinking, and utilizing digital tools to address customer inquiries effectively.
Highest-signal resume keywords
Bilingual Spanish SkillsAutomated Customer Service ExperienceStrong Verbal Communication SkillsAttention to DetailProblem-Solving Abilities
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Customer ServiceData AnalysisInformation DocumentationPC OperationTroubleshooting
Soft Skills
EmpathyPersistenceCritical ThinkingAttention to Detail
Tools & Technologies
Computerized SystemsDigital ToolsInformation Gathering Platforms
Certifications & Qualifications
High School Diploma or EquivalentValidated Language Test/Assessment
Industry Keywords
Insurance BenefitsProvider ContractsEligibilityClaimsCustomer Relations
About the role
Key responsibilities & impact- Complete required basic training
- Perform basic job functions with support on non-basic issues
- Respond to customer questions by 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 databases
- Develop and maintain positive customer relations
- Coordinate with company functions to handle customer requests and questions appropriately and promptly
- Research and analyze data to address operational challenges and customer service issues
- Provide internal and external customers with requested information
- Make and receive routine follow-up telephone calls and emails
- Use computerized systems for tracking, information gathering, and troubleshooting
- Understand and respond to internal and external customer needs and expectations
- Perform other duties as assigned
Requirements
What you’ll need- HS diploma or equivalent
- Previous experience in an automated customer service environment
- Any combination of education and experience providing an equivalent background may be considered
- Must pass the appropriate pre-employment test battery
- Bilingual Spanish or multi-language skills required
- Must pass a validated language test/assessment
- Ability to handle calls, texts, facsimiles, and electronic queues while taking notes and speaking to customers
- Ability to maintain focus during extended periods of sitting and handle 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
- Ability to work from the office as necessary
- Candidates must reside within a reasonable commuting distance from the posting location(s), unless accommodation is granted as required by law
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
- Hybrid/virtual work flexibility