Manage multiple channel interactions professionally and efficiently.
Effectively present products/services to providers with integrity, understanding, and accuracy.
Focus on provider retention through first call resolution and maintain positive relationships.
Capital Blue Cross promises to go the extra mile for its team and community. Employees consistently vote it one of the “Best Places to Work in PA”, valuing professional/personal growth by investing heavily in training and continuing education.
Build rapport with families, healthcare providers, and insurance companies in a compassionate manner.
Educate potential families about evaluation, treatment, and insurance processes.
Provide excellent customer service and expedite the process for families.
Cranial Technologies researches and treats plagiocephaly (commonly called flat head syndrome). They have treated over 300,000 babies with the DOC Band® and are the leader in pediatric cranial shaping orthoses. They also provide treatment with EarWell® to correct infant ear shapes without surgery, with 600,000+ successful outcomes.
Research, verify and resolve inquiries related to Oregon Health Plan (OHP) or Medicare eligibility.
Respond and assist members with Primary Care Provider (PCP) assignments and explain OHP or Medicare benefit coverage.
Collaborate with providers, Division of Medical Assistance Programs (DMAP), and members to ensure effective customer service and the resolution of any health plan issues that arise.
CareOregon is a nonprofit, mission-driven health plan focused on providing care to low-income Oregonians. We are an equal opportunity employer that greatly encourages military veterans to apply and considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.
Communicate with our members via phone and email. exhibiting care in every interaction
Listen to our members, providing empathy and solutions to their unique needs
Accurately document Member interactions and activity
Achieve is a leading digital personal finance company that provides innovative, personalized financial solutions. They have over 3,000 employees in hybrid and work-from-home roles across the United States with hubs in Arizona, California, and Texas and put people first.
Communicate with members via phone and email with care.
Listen to members and provide empathy and solutions.
Accurately document member interactions and activity.
Achieve is a leading digital personal finance company that helps everyday people move from struggling to thriving. They have over 3,000 employees in mostly hybrid and work-from-home roles across the United States, with hubs in Arizona, California, and Texas. They put people first.
Responsible for coordination of services for members, emphasizing education/self-management and quality care. \n- Assesses member needs, reviews service options, develops and implements care plans, and coordinates resources. \n- Manages a caseload of moderate-high risk members with complex medical/behavioral/psychosocial needs.
Capital Blue Cross is committed to improving the health and well-being of our members and the communities in which they live. They offer flexibility, prioritize health and well-being, and encourage employees to volunteer in their community.
Guiding them toward scheduling their care assessments.
Giving them the encouragement they need to take that next step.
Carenet Health turns everyday conversations into meaningful connections that help people take charge of their health. They value their team members and show it through a competitive and supportive package.
Audits FEP claims, customer service inquiries, member and group enrollment activities in accordance with Plan Incentive Program (PIP) guidelines.
Supports IA and SIU with assistance as needed.
Utilizes the internal SharePoint Audit tool to communicate findings and follow up assuring corrective action is taken and documented.
Capital Blue Cross is committed to going the extra mile for their team and community. It's why their employees consistently vote them one of the “Best Places to Work in PA.”
Provide prompt and courteous assistance to customers via various channels.
Sell and quote new business to both personal and commercial lines clients.
Assist in preparing and processing commercial insurance policies.
Trucordia is an insurance brokerage that brings together people, tools, and solutions. They have over 5,000 team members across 200 offices and are ranked as one of the fastest-growing companies in the U.S. for three consecutive years.
Serve as the primary point of contact for customers via phone.
Provide exceptional customer service by addressing inquiries and resolving complaints.
Maintain a thorough understanding of products, services and policies to effectively assist customers.
InteLogix empowers individuals and organizations to achieve their full potential. As a trusted leader, they provide innovative solutions and exceptional services that make a positive impact, believing in teamwork, integrity, and the commitment to excellence.
Engage with customers on the phone to solve problems and build lasting relationships.
Meet or exceed department SLAs for Customer Satisfaction Rating and response time.
Improve customer support policies by offering feedback and solutions to managers.
BRUNT is leading the way in redefining the workwear category, engineering better boots and apparel for tradesmen and women. The BRUNT team is devoted to improving on old workwear standards, and creating a community that tradesmen and women can call their own.
Assists in handling coverage applications and claims processes.
Helps share complex information about life and accident benefits.
Operates professionally while helping with sensitive situations.
PEHP Health & Benefits, a division of the Utah Retirement Systems, provides medical, dental, life, and long-term disability insurance plans. They are a government entity committed to customer value, market excellence, and healthcare improvement, offering competitive salaries, generous benefits, and work-life balance.
Researches requests for review of resolvable claims from providers.
Compiles information related to member appeals that request an Executive Review.
Provides copies of necessary documents and submits information to the Appeals and Policy Manager for review.
PEHP Health & Benefits is a division of the Utah Retirement Systems that serves Utah’s public employees through competitively priced medical, dental, life, and long-term disability insurance plans on a self-funded basis. They embrace both a public mission and a commitment to creating customer value.