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Member service representative
$54k-70k (estimate)
Full Time 1 Month Ago
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WellSense Health Plan is Hiring a Member service representative Near Worcester, MA

Customer Care Reps (Work from Home)

Positions are full-time, work from home

Monday-Friday : 1st shift (no weekends) actual shifts may vary anywhere between the hours of 8AM 6PM EST

Hourly rate : $19.50 per hour

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

As a WellSense Member Service Representative, you’ll serve as the first line of support for our stakeholders by providing accurate and thorough information to current and prospective members, providers and internal customers about our various health plans.

In this role, you’ll make a difference for others every day. This role has also proven to be an excellent starting point for long-term growth and advancement in our company.

Our Investment in You :

  • Full-time remote work
  • WellSense Health Plan is only able to employ in the following states : Alabama, Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, and Wisconsin
  • Paid 10-week training period
  • Bring your enthusiasm and people skills, and we will train you on the health insurance business and how to confidently resolve inquiries
  • Excellent benefits program, including a no-premium health insurance option
  • One-on-one mentoring and on-the-job training
  • New hire buddy program, Team Assist Line and Ulysses Learning, a leader in customer service and call center learning programs
  • Opportunities to increase your title and pay based on demonstrated knowledge, abilities and performance
  • Recurring annual cash retention bonus for remaining within the Customer Care position
  • Internal employee application program to grow into roles in other departments
  • Recognition and rewards for high performance and improvement
  • Employee resource groups for corporate diversity and inclusion initiatives

Key Responsibilities :

  • Utilize appropriate resource materials to own interactions in order to effectively and accurately interpret respond and resolve customer inquiries and problems while delivering outstanding service as a means to build loyalty, improve retention, and satisfy best-in-service goals and objectives
  • Respond to a high volume of incoming calls from members and providers (call length can vary widely, from five minutes to 45 minutes or more)
  • Maintain knowledge of WellSense contracts and policies and effectively interpret information
  • Employ strong interpersonal skills to handle difficult calls courteously and professionally
  • Document calls in accordance with departmental policies
  • Work with peers to solve problems and promotes teamwork
  • Meet or exceed department’s quality and productivity goals
  • Perform other duties as assigned

Qualifications

Education :

High school diploma or equivalent required, bachelor’s degree preferred

Experience

  • Prior professional work experience, ideally with customer service
  • It’s ok if you haven’t worked in a call center before, we will train you

Competencies, Skills, and Attributes :

  • Outstanding customer service skills
  • Excellent verbal and written communication skills
  • Strong organizational skills with the ability to prioritize a high volume of adjustment requests, multi-task and prioritize work
  • Ability to make reasonable and sound business decisions based on established standards and guidelines
  • Working knowledge of Microsoft Office products
  • Bilingual in Spanish, Portuguese, Haitian Creole or other language is highly desirable
  • Able to comfortably work from home with access to a high-speed internet connection
  • Ability to work overtime during peak periods

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans.

Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances.

Required Skills

Required Experience

Last updated : 2024-03-02

Job Summary

JOB TYPE

Full Time

SALARY

$54k-70k (estimate)

POST DATE

03/04/2024

EXPIRATION DATE

04/10/2024

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The job skills required for Member service representative include Customer Service, Call Center, Written Communication, Microsoft Office, Initiative, Teamwork, etc. Having related job skills and expertise will give you an advantage when applying to be a Member service representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Member service representative. Select any job title you are interested in and start to search job requirements.

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

If you are interested in becoming a Member Service Representative, 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 Member Service Representative for your reference.

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

Quotes from people on Member Service Representative job description and responsibilities

Provided members high-level customer service to ensure complete satisfaction by fulfilling their requests and concerns through effective communication and member engagement.

12/18/2021: Huntsville, AL

Customer service representatives (CSRs) are the front-line support within organizations that sell products and services to consumers and businesses.

12/31/2021: Gastonia, NC

They deliver high-quality customer service, listening to members' requests and working to find the appropriate solution.

01/09/2022: Knoxville, TN

Essential Duties and Responsibilities Greet members, prospective members and guests, providing exceptional customer service.

02/06/2022: Seattle, WA

The statement of service must provide the branch of service, rate/rank, all dates of service, the expected date of discharge and anticipated character of service (Honorable, General, etc.).

01/03/2022: Wichita, KS

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.

Career tips from people on Member Service Representative jobs

An associate member service also manages membership application requests and evaluates eligibility.

03/03/2022: Idaho Falls, ID

Building member relationships through quality service experiences.

01/04/2022: Colorado Springs, CO

Process service requests and create authorizations to communicate transportation details to partners.

01/31/2022: Atlanta, GA

Customer service representatives must have high EQ, be excellent at communication, and have superb problem solving skills.

02/15/2022: Danbury, CT

Provided great member service that reflected on repeat and referral members.

02/27/2022: Atlantic City, NJ

Step 3: View the best colleges and universities for Member Service Representative.

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