Role Overview
As a Service Advisor, you will work from home and be part of a dynamic team of innovative professionals at Claritev. You will provide exceptional customer service to internal and external customers, resolve inquiries, and ensure customer satisfaction. You will work independently in a remote environment and interact regularly with providers, clients, and internal departments.
What You Will Do
Your duties will include resolving and inputting provider/client requests into a tracking system, responding to inquiries, providing customer satisfaction, and meeting established standards for quality, customer service, productivity, and service level. You will also identify trends or process improvements to gain Call Center efficiencies and Quality Assurance concerns.
Why It Might Be a Fit
This role is a great fit for someone who is customer-focused, flexible, and able to work independently. You will have the opportunity to receive additional bonuses based on performance, participate in a shift bidding process, and have advancement and growth opportunities available to employees.
Requirements
- Minimum high school diploma or GED
- Minimum 1 year customer service experience
- Previous call center or telephone experience in similar environment and/or industry desired
- Knowledge of proper phone etiquette
- Knowledge of medical terminology desired
- Communication (written, verbal, listening) organization, telephone, and data entry skills
- Ability to work a flexible schedule to accommodate queues
- Knowledge of medical and claim terminology is desired
- Required licensures, professional certifications, and/or board certifications as applicable
- Ability to identify problem issues and determine the appropriate course of action/redirection within department guidelines required to resolve issues
- Ability to resolve issues of conflict in a tactful and professional manner and to effectively diffuse irate callers
- Ability to effectively handle multiple tasks, prioritize and manage time in a fast paced environment
- Ability to work independently as well as part of a team
- Ability to use software, hardware and peripherals related to job responsibilities including MS Office Suites, database software, etc.
- Ability to use multiple systems for claims research, contract interpretation, provider network status and verification, applications/nominations, and data integrity
- Ability to work full-time (40 hr.) work week with regular and consistent attendance
- Ability to work up to an 8-hour shift Monday-Friday between posted hours of operation on-site
Benefits
- Medical, dental and vision coverage with low deductible & copay
- Life insurance
- Short and long-term disability
- Paid Parental Leave
- 401(k) + match
- Employee Stock Purchase Plan
- Generous Paid Time Off – accrued based on years of service
- 10 paid company holidays
- Tuition reimbursement
- Flexible Spending Account
- Employee Assistance Program
- Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year
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