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Job Overview
Employment Type
Full-time
Compensation
Hourly
Range $14.75 - $19.00
Work Schedule
Standard Hours
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Paid Time Off
Retirement Plan
remote work options
Employee volunteer programs
Job Description
Network Health is a reputable health insurance provider dedicated to delivering high-quality and accessible healthcare coverage options to its members. Located in Wisconsin, Network Health is committed to improving the health outcomes of the communities it serves through comprehensive health plans and exceptional service. The company actively embraces innovation, customer service excellence, and community involvement. Network Health offers a supportive and inclusive work environment with opportunities for professional growth, emphasizing work-life balance through flexible working arrangements including remote, office-based, or hybrid models. The position is based in Wisconsin, either at home offices with reliable internet access or at the company... Show More
Job Requirements
- Hs diploma required
- associate degree preferred
- 2+ years working in a customer focused industry required
- customer service, enrollment and claims services experience strongly preferred
- health insurance experience preferred
Job Qualifications
- High school diploma required
- associate degree preferred
- 2+ years working in customer focused industry required
- customer service, enrollment and claims services experience strongly preferred
- health insurance experience preferred
Job Duties
- Provide support in the creation of reports and updates
- create and maintain electronic tools and implement tools to track work
- answer incoming phone calls from members, customers, providers or brokers efficiently regarding their inquiries on coverage, claim status, benefit interpretation, billing and/or authorizations
- respond to inquiries within set timeframes to adhere to department metrics and contractual standards
- during telephone calls, probe and ask appropriate questions to identify specifics of what caller is inquiring about to ensure first call resolution
- follow-up with customers or other departments on any outstanding issues or concerns
- escalate appropriate issues to supervisor or appropriate individual
- assist with implementation of government relations and product development processes and artifacts
- manage collection of data and enter data while engaging in basic analysis of data and developing reports
- coordinate invoicing, budgeting and contracting activities for product development team
- compose and edit product related communications for internal and external audiences including presentations, websites and correspondence
- coordinate critical meetings and events such as scheduling, facility logistics and document agendas, minutes and action items
- follow up as appropriate
- other duties as assigned
Job Criteria
Experience
Mid Level (3-7 years)
Job Location
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