CUSTOMER SERVICE REPRESENTATIVES (NEW YORK)

EmblemHealth is a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. As one of the nation’s largest not-for-profit health insurers, we serve more than three million people in the New York tristate area.

All positions will be onsite at our Corporate Office located at 55 Water Street, New York, NY 10041

Work Shifts

Monday through Friday, Shifts between 8 a.m. to 8 p.m. (35-hour work week)

Training

Must be available to attend 8-week paid training program, Monday through Friday, 10 a.m. – 6 p.m.

Compensation and Benefits

Hourly Pay Rate is $24.67

We offer competitive health and wellness benefits

Please review the position description below:

Receive, answer and/or record telephone/correspondence/e-mail inquiries from subscribers, providers, and other consumers relating to areas of coverage, payment of claims, membership status, medical management intake calls, etc., under the various EmblemHealth medical/surgical, dental, hospital and Medicare plans.

Review inquiries, correspondence and email receipts. Prepare email resolutions, letters (form or narrative letter) and/or claims payment process adjustments.

Perform written and verbal duties of the position to meet company goals for production and accuracy.

Perform related claims approving and clerical work as assigned.

Perform other duties as assigned or required.

Regular attendance is an essential function of the job.

Qualifications:

Must be able to work under pressure, handle stressful situations effectively and deal politely with subscribers and providers on the telephone, in person, and email/correspondence

Ability to detect and relate problem service issues to management

Ability to speak well on the telephone and maintain a positive telephone personality

Must be able to compose clear concise letters

If designated, sort and screen correspondence receipts and resolve via coding of additional payment, possibly including salvage and/or completion by letter

Typing and PC skills

Ability to adapt to change and address multiple issues simultaneously

Good organizational skills

Must be available for training

Education and Experience:

A minimum of two (2) years’ experience in customer service; one year must be in a call center setting

A college degree is preferred

Health insurance experience is a plus

Additional Information

Requisition ID: 2500D

Hiring Range: $24.67 per hour