HoustonRecruiter Since 2001
the smart solution for Houston jobs

Member Specialist

Company: Addison Group
Location: Houston
Posted on: January 15, 2021

Job Description:

Job Description:* This role is a customer service position with the purpose of working with members to successfully obtain all pertinent information to be able to have them matched with the appropriate legal representation. * This role works in a call center environment handling inbound and outbound calls from and to members and providers. * This role works in a team environment and is expected to consistently maintain metrics/KPI's as defined by management.Duties and Responsibilities:* Answer incoming emails in a timely manner as defined by the Service Level Agreements* Quickly determine the caller's needs and proceed to handle the intake of information and assist the caller* Confirm eligibility when necessary and verify plan benefits* Complete a thorough and accurate case profile during intake* Ensure that the member has a clear and correct understanding of benefits and process before ending the initial call* Attempt to create comfort zones with each member* Work with the team to proactively solve issues* Communicate effectively and in a timely fashion with customers, teammates, and management Notate all applicable information into each case within the CMS* Complete a Daily Status Updates when referrals are not ready the same day or the next day, so that the information can be communicated to the member* Provide Referral information to the member within 30 minutes of completion* Use every available contact method to provide the referral to the member* Follow up within (1) day to confirm that the member received the referral information and was able to reach the attorney unless a success warm transfer call was completed during referral* Follow up with the members until it can be confirmed that the member has had a consultation using the Follow-up Guidelines when you are unable to reach the member* Ensure that the member was satisfied with the consultation and determine whether the member will use the Provider's services, would prefer another Provider, or has received all necessary services* Continue following up with the member until the Providers are completed to ensure satisfaction, at each and every touch point, proactively and after* Report all issues, concerns, complaints and potential problems with Members or Providers using the Escalations Procedures* Respond to all phone messages and emails within two (2) business hours* Report daily activity, using the standard Daily Report format* All other duties as assigned#TalentAdminJob Requirements:Requirements:* High School Diploma, College Degree preferred* Preferred: Minimum three (3) years customer service, insurance, or account management experience* Must demonstrate strong customer service skills, displaying sound judgement and decision-making* Must manage customer expectations by resolving issues in a timely manner* Must plan work appropriately and balance multiple priories* Excellent communication skills, both written and verbal* Must maintain the highest level of professionalism* Microsoft Office proficiencySDL2017

Keywords: Addison Group, Houston , Member Specialist, Other , Houston, Texas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


SLP position- Beasley, Texas
Description: Job Description Soliant Health is partnered with a supportive school district
Company: Soliant
Location: Beasley
Posted on: 01/27/2021

PwC Tech Cloud Systems Engineer
Description: A career in Information Technology, within Internal Firm Services, will provide you with the opportunity to support our core business functions by deploying applications that enable our people to work (more...)
Company: PwC
Location: Channelview
Posted on: 01/27/2021

Reimbursement Specialist, Prior Authorization (Spring, Texas)
Description: Company DescriptionGuardant Health is a leading precision oncology company focused on helping conquer cancer globally through use of its proprietary blood tests, vast data sets and advanced analytics. (more...)
Company: Guardant Health
Location: Spring
Posted on: 01/27/2021


Remote Work-From-Home Independent Contractor - Call Center Representative
Description: We got what you want, you got what we need br Goodbye long commutes, rigid schedules, and busybody managers. Hello, Liveops. br br br Our well-known clients are seeking Independent Contractors (more...)
Company: Liveops
Location: Hitchcock
Posted on: 01/27/2021

Make up to $23/hour - Deliver with DoorDash
Description: Your time. Your Goals.What is DoorDashAvailable in over 4,000 cities in the U.S., Canada, and Australia, DoorDash is about connecting people with possibilities: bigger savings accounts, wider nets, stronger (more...)
Company: Doordash
Location: Houston
Posted on: 01/27/2021

PwC Tech Cloud Systems Engineer
Description: A career in Information Technology, within Internal Firm Services, will provide you with the opportunity to support our core business functions by deploying applications that enable our people to work (more...)
Company: PwC
Location: Humble
Posted on: 01/27/2021

Assistant Store Manager (Bilingual)
Description: Requisition ID 2020-8598Category: Assistant Store ManagerLocation: US-TX-HoustonOverview br br As an Assistant Store Manager ASM , you will use your customer service and leadership experience to (more...)
Company: TMX Finance
Location: Houston
Posted on: 01/27/2021

Insurance Csr
Description: Company Description Work At Home Vintage Experts provides an innovative work solution to the insurance industry. WAHVE helps soon to retire and experienced professionals within the insurance industry (more...)
Company: Work At Home Vintage Experts
Location: Houston
Posted on: 01/27/2021

CDL-A Flatbed OTR Truck Driver
Description: Why Settle For Less When You Deserve Moore br Born on the road, built for Moore. br We are looking for motivated individuals to join our growing fleet At Buddy Moore Trucking
Company: Buddy Moore Trucking
Location: Houston
Posted on: 01/27/2021

ESL Private Tutoring Jobs Humble
Description: Company We are looking for students, professionals, retirees or anyone with a passion to share, to join the largest community of teachers worldwide If you have free time and want to share your knowledge, (more...)
Company: Superprof
Location: Humble
Posted on: 01/27/2021

Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

Houston RSS job feeds