Fallon Health – Call Center Customer Service – Hybrid-Remote Training Benefits Career Path $19/hr – Worcester, MA

Remote Full-time
Job title: Call Center Customer Service - Hybrid-Remote Training Benefits Career Path $19/hr Company: Fallon Health Job description: Responsibilities Position Overview: The Member Services Representative is accountable for successfully addressing member and provider inquiries received through Fallon Health's 1-800 numbers, as well as providing direction on Plan policies, procedures, and benefits. Some key responsibilities include: • Ownership for development of knowledge and skills, as training program provides material and framework for success. • Ownership for customer satisfaction. Member Service Representatives are the primary liaison for our members to obtain the information or support they need As such, our representatives are expected to fully understand member/ provider needs, and within corporate/ department policies, take whatever action is necessary to fully satisfy the inquiry. • Clear and concise documentation of call detail for tracking of member/ provider contacts. • Identification and communication of trends that are indicative of enterprise service issues. • Escalation of member/provider concerns and servicing issues. • Appropriate execution of corporate and department policies/ practices. Qualifications • High school diploma required, Bachelor’s degree or advanced education desirable • 2+ years professional work experience preferably in a customer facing inbound call-center setting. • The ability to multitask and leverage strong typing skills and a high proficiency with MS Word, MS Excel and system data entry are essential tools for success in this role About Fallon Health: Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is the only health plan in Massachusetts to have been awarded “Excellent” Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. PM16 Expected salary: $19 per hour Location: Worcester, MA Apply for the job now! Apply tot his job
Apply Now

Similar Opportunities

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote Full-time

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote Full-time

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote Full-time

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote Full-time

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote Full-time

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote Full-time

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote Full-time

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote Full-time

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote Full-time

USPS Office Helper

Remote Full-time

Senior Curriculum Developer Manager CS Scale Remote

Remote Full-time

Value Engineer – FinOps & Growth Analytics

Remote Full-time

Securities Operations Representative

Remote Full-time

**Experienced Data Entry Specialist – Remote Opportunity with arenaflex**

Remote Full-time

General Counsel, Defense Partnerships & OTA Programs

Remote Full-time

Independent Contractor (1099) • Remote

Remote Full-time

Manager, Crisis & Call Center Operations (Social Work)

Remote Full-time

Security Consultant - Mid-Level (EMEA Remote) at CENSUS SA

Remote Full-time

PHP Developer; WordPress

Remote Full-time

Hiring a Real Mom to Record Short Parenting/Early Childhood Video (Script Provided)

Remote Full-time
← Back to Home