In addition, have the ability to communicate policies.
Complete enrollments, account adjustments for current and prospective members.
Respond to basic claim status phone and written inquiries requests from potential enrollees/enrollees/providers via various mechanisms.
Forward unresolved inquiries to grade V employees for resolution.
Sets up forms for making key changes and edits; billing/premium collection, eligibility for enrollment, modification to existing members accounts.
Expediently accesses a variety of hard copy and on-line systems or applications to analyze; forwards screened inquiries to Grade V or appropriate departments for follow-up; performs updates and processes transactions via PC application or on-line system.
Process enrollment transactions and changes.
Maintain personal daily performance standards/requirements.
Participates in training programs.
Participate in the marketing programs and/or outreach to all customers, including subscribers, potential subscribers, and dental professionals.
Skills/Experience
Job Requirements:
High School Diploma or general education degree (GED);
One year call center/customer service experience.
Ability to type 30 WPM. Knowledge of MS Word Excel.
Effective oral communication skills to handle sensitive incoming customer calls with emphasis on customer retention.
Customer service call center experience.
Self motivated and team oriented.
PC skills and keyboarding skills to efficiently handle incoming inquiries.
MS Office Professional including MS Access, preferred.
Ability to professionally represent Delta by clearly communicating complex policies and procedures to our customers.
Ability to manage stress.
Ability to adhere to performance standards as defined by management.
Ability to handle multiple concurrent tasks during emotional interfaces with customers.
Ability to complete training requirements.
Ability to respond to requests by customers in a professional and positive manner.
Ability to prioritize work and follow through.
Ability to handle detailed work.
Ability to respond quickly and accurately to questions.
Ability to handle constant customer contact/forced workflow distribution.
Ability to handle change management philosophy.
Ability to hear voice communications.
Ability to speak English clearly to communicate with external/internal customers.
Visual acuity to read computer screens and claim forms.
Ability to reach and twist to access reference materials and forms.
Ability to wear a headset during working hours.
Ability to complete CS skills training and testing.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.
Ability to write routine s and correspondence.
Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals.
Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.
Ability to deal with problems involving several concrete variables in standardized situations.
Required Skills
Call center background, strong verbal communication skills, Ability to meet attendance requirements, Ability to easily navigate computer systems,
Desired Skills
Customer-centered focus; problem-solving ability; ability to assist customers with professionalism in a concise, productive manner
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