Description
About the job
Receive calls from members or employer groups and providers and prospective clients
To receive calls from providers and have first call resolution on pre-authorization queries for limited and straightforward cases or route the query to the correct department for call resolution
To receive and resolve all member related calls and to ensure that all complaints and queries are resolved on first call resolution or escalate the query for resolution
To receive calls from prospective clients and re-route the calls to the appropriate department.
To log inquiries for all calls relating to registered providers, Clients, and members.
To follow up on specific cases as distributed by the manager to ensure a value-added service offering.
To adhere to the organizational values.
Research and identify new business opportunities - including new markets, growth areas, trends, customers, partnerships, products, and services - or new ways of reaching existing markets.
Develop a growth strategy focused both on financial gain and customer satisfaction.
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