Customer Service Representative (Must live near Overland Park, KS) from A-Line Staffing Solutions

Job Title: Customer Service Representative

Pay: $21.43 an hr | Bi-weekly

Job Type: Remote in Overland Park, Kansas (Must live at least 2 hours away from Overland Park, KS)

Shift Options:

• M-F 8:00am - 5:00pm

Customer Service Representative Overview:

• Customer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service inquiries and problems via telephone, internet or written correspondence are handled.
• Customer inquiries are basic and at times complex nature. Engages, consults and educates members based upon the member’s unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear path to care.
• Answers questions and resolves issues based on phone calls/letters from members, providers, and other departments.
• Triages resulting rework to appropriate staff.
• Documents and tracks contacts with members, providers and plan sponsors.
• The CSR guides the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines.
• Creates an emotional connection with our members by understanding and engaging the member to the fullest to champion for our members' best health.
• Taking accountability to fully understand the member’s needs by building a trusting and caring relationship with the member.
• Anticipates customer needs.
• Provides the customer with related information to answer the unasked questions, e.g. additional plan details, benefit plan details, member self-service tools, etc.
• Explains member's rights and responsibilities in accordance with contract.

Customer Service Representative Qualifications:

• 2 years experience.

• Strong Attention to detail

• Excellent verbal and written communication and interpersonal skills w/ ability to maintain patient confidentiality

• Proficient computer skills and the ability to navigate in a Windows based environment

• Ability to follow directions, and adapt in dynamic work environment; ability to adapt to change and remain flexible

• Ability to work in a high pressure, time sensitive environment

• Project a professional business image, through phone interaction as well as internal communications

• Demonstrated problem-solving ability and attention to detail

• Demonstrated sense of urgency with assignments

• Strong organizational skills

• Strong telephone skills

• Ability to read and understand pharmacy/medical terminology

• Ability to read, analyze and interpret general business correspondence, technical procedures and governmental regulations.

• Ability to identify and solve practical problems and deal with a variety of concrete variables in standardized situations.

• Ability to perform basic mathematic calculations maybe required

• Ability to interpret a variety of work instructions provided through a variety of mediums

• Ability to anticipate needs and resolve issues with urgency

• Ability to consistently meet quality and production standards

• Displays confidence in the ability to learn complex material

• Demonstrates intellectual curiosity through inquiries to ensure deep understanding of the business and deliver accurate results

Customer Service Representative Benefits:

• Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance.
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.

How to Apply:

If you are interested in this position, please apply OR submit your resume to:

Saw Hlaing | shlaing@alinestaffing.com | 412-790-5425