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Customer Service Representative
Integrity Marketing Group LLC. Conduct recorded verification calls with consumers using approved TPV scripts word for word .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting verification calls while adhering to approved scripts and protecting consumer PHI and PII under HIPAA regulations. Proven ability to meet quality, accuracy, and productivity targets in a call center environment, with strong communication skills and a focus on consumer understanding.
Highest-signal resume keywords
Call Center ExperienceHIPAA ComplianceTyping Speed of 35 WPMBilingual: English and SpanishQuality Assurance Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Verbatim Script ReadingConsumer Identity VerificationDocumentation of ConsentCall Outcome RecordingConsumer Complaint Escalation
Soft Skills
Professional CommunicationCoachable and Open-MindedPatient Interaction
Tools & Technologies
CRM PlatformsDialer SystemsCall Recording Software
Industry Keywords
MedicareHealth InsuranceHealthcare Call CenterMedicare AdvantageACA Marketplace
About the role
Key responsibilities & impact- Conduct recorded verification calls with consumers using approved TPV scripts word for word
- Verify consumer identity and demographic and eligibility details
- Confirm understanding of the selected plan, effective date, and key plan elements
- Obtain and document clear, voluntary consent to enroll
- Stop or fail verification when consumers are confused, hesitant, did not request the plan, or report pressure or misleading statements
- Escalate suspected agent misconduct, consumer complaints, and potential fraud to Compliance the same day
- Record call outcomes, reason codes, and notes in the verification system
- Protect consumer PHI and PII under HIPAA and company privacy policies
- Meet quality, accuracy, and productivity targets set by the TPV Supervisor
- Participate in call calibration, quality reviews, and coaching sessions
- Independently verify consumer enrollments during peak enrollment season as a non-sales checkpoint between sales conversations and submitted enrollments
Requirements
What you’ll need- 1 year minimum of call center or customer service experience
- Typing speed of at least 35 words per minute with high accuracy
- Ability to read scripts verbatim in a clear, professional, and patient manner
- Preferred: Prior TPV, quality assurance, or compliance call experience
- Preferred: Experience in a Medicare, health insurance, or healthcare call center
- Preferred: Familiarity with Medicare Advantage, Part D, or ACA Marketplace terminology
- Bilingual preferred: English and Spanish
- Preferred: Experience with CRM, dialer, and call recording platforms
- Ability to protect consumer PHI and PII in line with HIPAA and company privacy policies
- Ability to meet quality, accuracy, and productivity targets
- Ability to be coachable, open-minded, and receptive to constructive feedback
Benefits
Comp & perks- Competitive compensation package
- Health and family benefits
- Professional opportunities and career acceleration
- Coaching sessions
- Call calibration and quality reviews
- Reasonable accommodations for qualified individuals with disabilities