Manage multiple channel interactions professionally and efficiently.
Address provider inquiries with accuracy and focus on first call resolution.
Maintain positive relationships and exceed quality and productivity goals.
Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association focused on improving the health and well-being of its members and communities. It has been consistently voted one of the Best Places to Work in PA and fosters a flexible, supportive culture with emphasis on professional growth and community involvement.
Provide support to participants and clients regarding eligibility, benefits, claims, and general plan inquiries via phone and email.
Document all customer interactions accurately in the call tracking system and navigate multiple systems to assist customers.
Maintain confidentiality in accordance with HIPAA standards and contribute to a positive, team-oriented environment.
Point C is a National third-party administrator that delivers customized self-funded benefit programs. They are a mission-driven company focused on innovative cost containment strategies.
Connect with customers via phone/email/chat/social media to resolve questions or concerns.
Calmly de-escalate issues and escalate interactions when necessary.
Track call information for auditing and reporting, and upsell if required.
TP is a leading global provider of digital business services, partnering with top brands to optimize operations through technology and sustainable practices. With a global workforce of 500,000 across 300 languages, TP fosters a culture of inclusion and diversity where every employee feels valued.
Acts as the first point of contact for customer requests related to commercial audits and workers' compensation policies.
Establishes and maintains professional relationships with external and internal customers.
Completes research, coordinates with departments, and documents transactions accurately.
Liberty Mutual provides insurance and related services, including premium audit and workers' compensation support. The company is a large, global insurer with a culture that values inclusion, support, and professional development.
Resolve complex consumer issues and advise first-level representatives on high-level issues.
Assist policy holders with billing questions and concerns, and support policy changes as requested.
Provide recommendations and adjustments to meet policy holders' needs in a fast-paced environment.
TP is a leading global provider of digital business services, partnering with the world's most prominent brands to optimize operations through advanced technology and sustainable business practices. With a global workforce of 500,000 across 300 languages, TP fosters a culture of inclusion and diversity, providing limitless career advancement.
Respond to member and provider inquiries about Medicare benefits, claims, and enrollment via phone and email.
Analyze issues, document outcomes, and maintain accurate records in internal systems.
Collaborate across departments to resolve service issues and support contact center documentation.
Curana Health provides value-based primary care services for the senior living industry, including skilled nursing facilities and assisted living communities. With over 1,000 clinicians serving more than 1,500 communities across 34 states, the company has experienced rapid growth since 2021 and participates in innovative CMS programs.
Provide daily phone coverage for the Notice of Loss 800 number and set up claim first notices.
Keep accurate records of customer interactions and provide timely answers to routine claim inquiries.
Serve as a customer advocate and embrace Pete's Principles to deliver outstanding customer experience.
Travel Insured International is a leading travel insurance provider with more than 30 years in business, offering travel protection plans to consumers and agency partners. As part of Crum & Forster's Specialty Business Unit, the company fosters a dynamic, ambitious, and inclusive work environment focused on career development and community support.
Execute all core responsibilities of a Care Specialist, managing billing processes and ensuring accuracy.
Provide real-time chat support to team members, offering prompt guidance to resolve issues.
Handle and resolve tickets, complaints, and corporate escalations with professionalism and urgency.
Cable One is a telecommunications company that provides internet, cable TV, and phone services to customers across the United States. The company is an award-winning organization with a focus on diversity, inclusion, and community support, offering a collaborative work environment and opportunities for advancement.
Serve as the primary point of contact for customers via phone, resolving issues and guiding solutions.
Accurately document interactions and collaborate with departments to ensure positive experiences.
Exceed satisfaction goals with strong communication and problem-solving skills.
InteLogix is a trusted leader in providing innovative human capital solutions and exceptional services. With 19 global centers, they help 23 million people and their families simplify work and life, driven by teamwork and excellence.
Assist customers with product, shipping, billing, and order inquiries.
Research and resolve concerns using multiple systems and root cause analysis.
Meet contact center performance metrics to ensure customer satisfaction.
Golden Customer Care provides customer service for health, wellness, beauty, and pet brands. We offer a supportive culture with benefits like no-cost insurance, employee stock ownership, and room for growth.
Handle inbound and outbound member and provider inquiries via phone, email, and chat with professionalism and empathy.
Provide accurate information on benefits, eligibility, claims, prior authorization, billing, and provider portal support.
Collaborate with internal teams to resolve complex cases, identify process improvements, and meet performance goals.
XO Health is the first health plan designed by and for self-insured employers, delivering a unified health experience for members, providers, and payers. We are growing a multi-disciplinary team of diverse and digitally empowered employees committed to rebuilding trust in healthcare through transformation.
Communicate with members via phone and email, providing empathetic support and solutions.
Accurately document interactions and collaborate with the team to share best practices.
Handle a high volume of inbound calls with a solution mindset and people-focused approach.
Achieve is a leading digital personal finance company helping people move from struggling to thriving with personalized financial solutions. We have over 3,000 employees in mostly hybrid and remote roles across the United States, with a culture focused on empathy and inclusion.
Resolve complex participant inquiries and escalated cases, providing consultation and guidance to team members.
Identify process improvement opportunities through case reviews and support the implementation of improved processes.
Create and maintain team metrics and dashboards to improve operational visibility and efficiency.
The partner company provides healthcare benefit account administration and complex issue resolution. They offer a fully remote work environment with a focus on operational excellence and customer service.
Conduct administrative intake and scripted clinical intake of calls, providing quality customer service to providers and staff.
Collect and enter confidential information with high confidentiality, maintaining high-quality documentation standards.
Meet key performance indicators like Average Talk Time and quality, while adhering to HIPAA and regulatory standards.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving over 700 clients across 10 industries. With operations in 13 countries and more than 66,000 employees, WNS combines scale, expertise, and execution to create meaningful, measurable impact.
Serve as primary point of contact for domestic customers via phone, email, web forms, and chat.
Process orders and provide distribution support, including permits, shipping, tracking, and account inquiries.
Maintain professionalism and empathy, escalating complex issues to higher-level specialists as needed.
ATCC is a global nonprofit that provides trusted biological materials for science and health. It is a mission-focused organization supporting critical life science research, with a culture centered on improving and saving lives.
Provide outstanding customer service to families and coordinate information between physicians, insurance companies, and clinics.
Obtain insurance authorizations and research benefits, eligibility, and authorization requirements.
Communicate cost shares and financial responsibilities to families to help them make informed treatment decisions.
Cranial Technologies is the only company dedicated to researching and treating plagiocephaly (flat head syndrome) and correcting infant ear shapes with EarWell. They have treated over 500,000 babies and offer a remote, customer-focused culture.
Respond to inbound and outbound calls to address customer inquiries about benefits and claims in a polite manner.
Forward inquiries as directed for priority resolution and document each encounter in the tracking system.
Multi-task in several computer applications while holding a conversation with a customer.
We are focused on delivering engaging interactions and positive experiences that leave a lasting impression. We are an equal opportunity employer committed to creating job opportunities and helping people pursue their total vocation.
Deliver a respectful, compassionate experience for every caller, aiming for one-call resolution.
Complete crisis screening assessments and coordinate with crisis teams when immediate intervention is needed.
Manage and track referrals in Salesforce, including conducting outbound follow-up calls.
Centerstone is a nonprofit behavioral health system providing mental health and substance use disorder treatments. With thousands of employees, it is a dynamic, well-established organization focused on delivering care that changes people's lives.