About this role

Develops and maintains positive customer relations
Coordinates with functions within the company to ensure customer requests are handled and resolved appropriately and in a timely manner
Interacts with internal and external customers to provide claims, customer service, and/or membership support
Responds to client issues via telephone and written correspondence regarding insurance benefits member, provider contracts, eligibility, claims, etc
Proficiency in adjudicating claims through Pharmacy Benefit Managers (PBMs)
Completes necessary research to provide proactive, thorough solutions
Displays ownership of service requests ensuring high quality resolution and follow-through
Supports and guides the customer with their personal options and decisions

Requires a HS diploma or equivalent
Minimum of 1 year of the company's experience in an automated customer service environment
General knowledge of company pharmacy services, products, insurance benefits, contracts and claims preferred
Strong oral, written and interpersonal communication skills
Problem-solving skills
Facilitation skills
Analytical skills

Pharmacy Customer Associate II

Key skills