SHP Customer Service Representative I (Remote Option within member service area) (marshfieldclinichealthsystems)

Job Description

JOB SUMMARY

The SHP Customer Service Representative I primary responsibility is to ensure positive customer interacts with one major product line (Medicare Advantage or Commercial/Marketplace) of Security Health Plan’s members. The individual will interact with members, applicants, providers, and agents via telephone. The SHP Customer Service Representative I will identify the customer’s concern and appropriately research and resolve the inquiry in a timely manner. The SHP Customer Service Representative I will escalate complex issues to a Benefit Specialist. This is a basic learning phase and will be continually trained and coached to enhance customer service skills.

Remote option available after proven successful performance within the 60-90 day onsite training period.

JOB QUALIFICATIONS

EDUCATION

For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.

Minimum Required: High school diploma or equivalent.

Preferred/Optional: Associate or Bachelor’s Degree in business administration.

EXPERIENCE 

Minimum Required: Two years’ experience with customer service. Demonstrated proficiency with handling high-pressure situations and with verbal and written communication.

Preferred/Optional: Experience working in a health insurance call center.

CERTIFICATIONS/LICENSES 

The following licensure(s), certification(s), registration(s), etc., are required for this position.  Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.

Minimum Required: None

Preferred/Optional: State of Wisconsin Insurance Agent’s license.

This position will be for provider calls.

Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare.  Successful applicants will listen, serve and put the needs of patients and customers first.

Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid.  This is a condition of employment.  Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.

Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.