Cutomer Service /Office Assistant
About Us J&K Roofing, Inc. is an innovative roofing company, offering unparalleled customer service, superior work performance, and outstanding product installation. Formed in 1984, our company was built on family values and exceptional quality workmanship. Those foundations remain solidly in place today. Job Requirements: Duties : Manage inquiries from members and providers regarding claim status, claim payments, eligibility/enrollment, plan benefits, billing and referrals according to departmental procedures. Log all calls, voicemails and other inquiries received into Call Diary. Report consumer complaints/grievances and the resolution of complaints/grievances. Monitor inquiries forwarded to other departments for timely resolutions of issues. Provide follow-up as necessary. Participate in departmental rotations for staffing the extended-hour Medicare phone on a regular basis and during open enrollment; working mail; retrieving and returning voicemails; and managing open call reports. Participate in ongoing training and departmental staff meetings. Help handle IT issues in regards to the Member Portal Participate in cross training in other departments as needed Assist the Billing Department by taking member premium payments Participate in second interview process with new Customer Service Rep hires Perform other duties as assigned. Required Knowledge, Skills & Abilities: Bilingual preferred Detail oriented Highly organized Ability to exercise good judgment Excellent interpersonal skills Ability to understand and interpret policies and procedures Good oral communication skills Professionalism in dealing with coworkers, members and providers Excellent phone skills Ability to work under pressure Must be personable, empathetic, but firm in dealing with members and providers Resourceful in solving problems, researching issues and communicating with members, providers and coworkers.