Description We are seeking a Customer Service Representative to join our team in Arcadia, California. As a crucial part of our team, you will be the primary contact point for our customers, taking responsibility for addressing their queries and concerns about plan benefits and services. This role particularly suits individuals skilled in customer service and communication, ideally with experience in a healthcare management or call center setting.Responsibilities Serve as the primary contact for customers, addressing their questions and concerns related to benefits, eligibility, referrals, claims, and other aspects of plan benefits and services. Use your strong understanding of operations to determine the most effective course of action based on the needs of the caller. Ensure customer satisfaction by providing superior customer service and displaying a willingness to assist at all times. Maintain professional demeanor during interactions with customers, prospective members, providers, brokers, and vendors. Process customer credit applications accurately and efficiently. Keep accurate records of customer credit. Monitor customer accounts and take appropriate action when necessary. Adhere to all Federal and State regulatory requirements and guidelines applicable to operations. Attend and participate in staff meetings and training sessions. Ensure compliance with HIPAA requirements in all operations. Utilize customer service software to enhance customer experience and efficiency. Be familiar with Basic Medical Terminology to better serve customers.Trilingual Mandarin and Cantonese is highly preferred)Bilingual English and Korean neededRequirements Must have at least two years of experience in a customer service role. Proficiency in basic medical terminology is required. Previous experience in a call center customer service role is highly desirable. Must be knowledgeable and skilled in using customer service software. Strong verbal and written communication skills are essential. Ability to handle and resolve customer complaints in a professional manner. Must have excellent problem-solving skills and the ability to make decisions under pressure. Must have a strong work ethic and be able to work independently as well as part of a team. Flexibility to work in shifts including weekends and holidays. High school diploma or equivalent is required; higher education or certifications in related fields are a plus. Must be comfortable working in a fast-paced environment. Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .
