Job description

Hybrid Customer Service Associate/Auditor is responsible serving clients by overseeing the daily functionality of dependent eligibility audits by organizing, handling, and processing incoming and outbound documentation. This position will work closely with rest of the Client Delivery Team – ensuring that everything we do is for the betterment of our clients. Utilizing proprietary software, this position involves reviewing plan eligibility documentation against actual supporting documentation provide by enrollees identify ineligible dependents.

10am - 7pm

Duties and Responsibilities:

• Receive inbound calls including voicemail from employees who are in active or inactive audits to ensure their questions are fully answered while monitoring, tracking the call and maintaining accurate audit notes in our proprietary software Audit IQ.

• Process incoming audit documents based on client specific requirements while meeting BMI performance guarantee requirements.

• Process faxes, returned mail, incoming documents based on client specific requirements.

• Prepare, print, and mail incomplete letters and postcards based on client specific requirements.

• Open and scan incoming audit documents along with managing the organization of the audit document file room.

• Support, train, and mentor colleagues.

• Work cross-functionally with all Client Delivery team members to assure service provided directly supports the account plan for the client and are delivered in the form that meets the client’s needs within the agreed upon scope of work

Requirements:
 Preferably 1 year + of customer service experience, preferably healthcare or claim experience. Inbound call experience required.

 Proven excellence in the support and service to complex customers.
 Superior problem-solving ability, preferably within a customer environment.
 Strong analytical and critical thinking ability.
 Proficiency with Microsoft Office (Word, Excel, Outlook, PowerPoint, etc.) and Web Conferencing.

Job Type: Full-time

Pay: From $19.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Shift:

• 8 hour shift
• Day shift

Weekly day range:

• Monday to Friday

Work Location: Hybrid remote in South Bend, IN 46601

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