Customer Services Representative

Job Description:Receive inbound calls; calls may involve claims status, rejections & benefit information; proficient computer skillsCommunicate effectively with members of Highmark Health optionsInitiate outreach efforts, primarily by telephone, to conduct screening/surveys of members who may benefit from Care Coordination assistance. (Ex. Members who have needs relating to Physical Health, Behavioral Health and Health Related Social Needs (SDOH)Qualifications:xe2x80xa2 High school diploma/GED (required)xe2x80xa2 Must be comfortable working in a high call volume position (100 calls a day, with 50 being outbound calls and 50 being inbound calls) (required)xe2x80xa2 Must be proactive, self-directed, assertive and creative in problem solving and system planning (required)xe2x80xa2 Strong active listening skills with the ability to act sensitively toward diverse people and situations. Ability to successfully interact with external customers, peers, colleagues, and management team(required)xe2x80xa2 Demonstrate effective time management skills and demonstrate an ability to prioritize and handle multiple tasks simultaneouslyxe2x80xa2 Minimum of 1-3 years of Outbound Call Center experience (required)xe2x80xa2 1-3 years of Screening/Survey experience (required)xe2x80xa21-3 years of Customer service experience (required)xe2x80xa2 Manager is open to more than 3 years of call center/csr experience (required)xe2x80xa2 Demonstrate effective time management skills and demonstrate an ability to prioritize and handle multiple tasks simultaneouslyxe2x80xa2 Must demonstrate sound judgment and discretion when approaching problems and making decisionsxe2x80xa2 Prefer candidates who are familiar with Delaware, local resources and the DE Medicaid population but it is not required