Hours of Ops:

During Training 8:00am 5:00pm EST

Call Center is open 7 days a week, 8am to 8pm Eastern Standard Time.

However, you will only work 8 hour shifts a total of 5 days a week. This can include shifts on Saturday/Sunday as noted during peak season.

AEP (Oct Mar) Monday Sunday/7 days a week, 8AM 8PM EST

Non-AEP (April Sep) Monday Friday, 8AM 8pm EST

MUST HAVES:

MEDCARE Advantage Plan Part D - required

QNXT experience (preferred)

Empathy for senior citizens

Call center experience and knowledge

• Responsible for inbound and Outbound phone inquiries primarily dealing with either:

• Member benefits and eligibility related to the HMO, EPO/PPO, Medicare and Medicaid, CHP and
• Resolve issues with respect to benefits and eligibility by researching documentation, system information or gaining knowledge from other employees, management or departments.
• Interact with customers, document call specifics and demonstrate quality program behaviors to create an outstanding relationship with each caller.
• Work with outside vendors as needed to answer questions or resolve issues.
• Respond to member correspondence/email in writing utilizing an existing system to effectively respond to members.
• Conduct orientation through welcome calls to new members by providing an overview of the Information and pertaining administrative policy.
• To maintain Quality as per the SLA
• To maintain Productivity as per the SLA
• Continuously meet and exceed the assigned Targets
• Performance should be maintained in accordance with the process performance parameters
• To maintain confidentiality of work done
• To follow all regulatory requirements and procedures as per the company policy
• Display high levels of professionalism in the work delivered and overall conduct
• To maintain confidentiality of work done while in office or WFH environment