Responding to moderately complex customer questions via telephone and written correspondence regarding pharmacy retail and mail order prescriptions
Develops and maintains positive customer relations and 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 regarding insurance benefits member, provider contracts, eligibility, claims, etc.
Completes necessary research to provide proactive, thorough solutions
Displays ownership of service requests ensuring high-quality resolution and follow-thru
Supports and guides the customer with their personal options and decisions and helps the customer become knowledgeable and confident about using technology, tools, and resources available to them
Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers
Additional expectations to include but not limited to: Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills; attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts
Requirements
Requires a HS diploma or equivalent
Minimum of 1 year of the company's experience in an automated customer service environment
Specialty Pharmacy experience (preferred)
Pharmacy and Medical claim research experience (preferred)