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Customer Service Specialist I
Ces Dallas, TX
$35k-44k (estimate)
Full Time 1 Month Ago
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Ces is Hiring a Customer Service Specialist I Near Dallas, TX

Customer Service Specialist I
Job Description Summary:
CES is looking for Customer Service Specialist I (CSS). The CSS is responsible for interviewing Complainants or Beneficiaries concerning the Medicare Advantage or Prescription Drug Programs to determine disposition of case. The CSS researches subjects and beneficiaries of received Complaints.
Duties/Responsibilities:
  • Communicates with beneficiaries, plans, pharmacies, and providers as needed to resolve complaints.
  • Evaluates the facts of a complaint and researches additional information as necessary.
  • Compiles findings and determines if appropriate for closure or presentation to Level II team.
  • Handling a wide variety of confidential situations.
  • Performs data entry of complaints into the case management system and a variety of other databases.
  • Performs minor background research on subjects of interest as required for the screening of complaints.
  • Prepares appropriate letter templates and/or revises the content based on the facts presented in the complaint.
  • May communicate with external customers including beneficiary or individual complainants, representatives from the Senior Medicare Patrol, Plan Sponsors, CMS and others.
Competencies:
  • Analytical - Collects and researches data; Uses experience to complement data.
  • Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
  • Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
  • Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
  • Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
  • Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
  • Judgment - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions.
  • Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
Preferred Qualifications/Skills:
  • Education and/or Experience - High school diploma or general education degree (GED) required customer service/call center and/or Medicare knowledge preferred; or equivalent combination of education and experience.
  • Language Skills - Ability to speak effectively and professionally to customers or employees of organization. Ability to read and interpret documents, instructions, and procedure manuals. Ability to write routine reports and correspondence.
  • Mathematical Skills - Ability to perform standard mathematical calculations.
  • Reasoning Ability - Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving a variety of variables.
  • Computer Skills - To perform this job successfully, an individual should have knowledge of Data entry; Database software; Internet software; Spreadsheet software and Word Processing software.
  • Other Skills and Abilities - Ability to work with highly sensitive information while preserving the confidentiality of the information. Working understanding of Medicare (Part C or Part D preferred), medical terminology, medical coding background is preferred.
Other:
  • Work shall be performed form an office in Dallas, TX.
  • Equal Opportunity Employer/Veterans/Disabled.
  • For more information about CES, please visit www.cesnb.com.

Job Summary

JOB TYPE

Full Time

SALARY

$35k-44k (estimate)

POST DATE

03/24/2024

EXPIRATION DATE

03/28/2024

WEBSITE

cescompany.com

HEADQUARTERS

PENNGROVE, CA

SIZE

200 - 500

TYPE

Private

CEO

NANCY STERNE

REVENUE

$10M - $50M

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The following is the career advancement route for Customer Service Specialist I positions, which can be used as a reference in future career path planning. As a Customer Service Specialist I, it can be promoted into senior positions as a Customer Service Representative II that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Customer Service Specialist I. You can explore the career advancement for a Customer Service Specialist I below and select your interested title to get hiring information.

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If you are interested in becoming a Customer Service Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Customer Service Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

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