Customer Service Representative

Description

Summary: This role involves providing courteous and prompt resolution to provider/member inquiries, educating them, and identifying root causes for service failures. Highlights: 1. Provide courteous and prompt resolution to inquiries. 2. Create an exceptional experience for providers/members. 3. Resolve problems efficiently and effectively on the first call. **About Sagility** ------------------ Sagility combines industry\-leading technology and transformation\-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries. The incumbent of this role is expected to Provide courteous and prompt resolution to provider/member inquiries by conducting thorough investigations and fully educating provider/member with the goal of resolution on initial contact. In addition to researching and investigating service failures and report to leadership; identify root cause and recommend resolutions for service recovery and retention **Job title:** Customer Service Representative **Job Description:** 1\. Respond to inquiries by telephone, web chat or email; research and answer inquiries, complaints and appeals by following all department standards, policies and procedures. 2\. Creates an exceptional experience for the provider/member by using professional customer service techniques, personalizing and focusing on adding value to the call 3\. Retains existing member through the use of proactive customer service/consulting techniques and enabling members to perceive value in the service 4\. Resolves member’s questions and concerns efficiently and effectively through the use of active listening and personalizing techniques and by focusing on adding value 5\. Resolves problems on the first call, and with a minimum of transfers by consistently improving personal technical knowledge and understanding 6\. Manipulate systems and escalate issues to the appropriate personnel for final resolution. 7\. Practice and maintain confidentiality to Privacy and HIPAA regulations. Proactively seek training and development to enhance skills and abilities. 8\. Participates in ongoing training in keeping with Client’s request and changing business strategies. 9\. Ensure and maintain compliance of all department and corporate standards, policies and procedures. 10\. Maintains call performance goals (i.e. AHT, quality and schedule adherence) 11\. Adheres to Sagility’s policies and procedures. 12\. Maintains a positive attitude and support Sagility’s Commitment to Excellence. 13\. Performs other duties as assigned. **Location:** Barranquilla Distrito 90Colombia