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US Tech Solutions PIA H&B Specialist I - Call Center (Tier II) in Rochester, New York

Job description:

  • Provides advanced client service and technical product support to our internal and external partners.

  • Ensures timely and accurate problem resolution while mitigating exposure to the Agency and client.

  • Works independently to handle increasingly more complex issues and calls while maintaining an advanced understanding of the business unit department goals and objectives

  • Works with the client COBRA participants and other business units to resolve escalated client issues

  • Develops and maintains comprehensive knowledge of new and existing client account set ups their corresponding systems and Health & Benefit processes to ensure resolution of escalated client issues

  • Takes inbound calls from H&B Clients as well as COBRA participants

  • Makes outbound resolution calls to clients and participants as necessary

  • Maintains expected level of availability and call quality as determined by the department Gathers and interprets data to solve complex issues relating to the Health & Benefit product and services while maintaining positive and professional relationships with internal and external partners

  • Trains and mentors employees within the group when required to ensure all staff is current on policies and procedures

  • Assists the team with escalated client calls and handles the situation through resolution to ensure the team has the resources to perform their tasks

  • Acts a resource for them as needed Develops problem resolution techniques and makes appropriate recommendations to Supervisor to ensure all client issues are resolved appropriately and accurately

  • Reviews processes and streamlines daily tasks to maintain efficiencies within the department

  • Maintains accuracy and integrity of the clients financial and insurance transactions by researching and resolving any discrepancies with coverage or billing

  • Responds to inbound calls and places outbound calls as required by the business unit to ensure issue resolution and client satisfaction

  • Maintains accurate recording of all internal and external communications (Insured insurance partners payroll offices etc)

  • Maintains documents and records to ensure compliance with all applicable state and federal insurance regulations

  • Provides necessary documentation to states and federal insurance agencies as well as our insurance partners to ensure compliance with internal and external policies

  • Participates in product related projects product testing or training sessions as required to ensure implementations are successful

Qualifications:

  • BA/BS in Management Business or Finance preferred 2 years customer service/insurance related experience or the equivalent combination of education and experience is required (experience preferred)

  • Strong written and verbal communications analytical and mathematical skills prioritization and organizational skills are required

  • LAH insurance license is preferred for candidates Employees hired into this position without an LAH license are required to obtain their LAH license within 90 days of employment

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com .

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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