Healthcare Customer Service - (Tampa, FL)

Customer Service Representative POSITION DESCRIPTION Responds to member and provider inquiries (phone written or walk in) regarding all aspects of WellCare business including claims in a professional timely accurate and caring manner while consistently meeting all guidelines. KEY FUNCTIONS Responds to member provider and other inquiries via telephone correspondence or lobby walk-in while meeting all corporate guidelines and performance standards. Demonstrates appropriate customer-care skills such as empathy. active listening. courtesy. politeness. helpfulness and other skills as identified. Records investigates and resolves member complaints as detailed in the Grievance Procedure narrative. Assists in the education of new members and in the re-education of existing members regarding health plan procedures. Logs tracks and appropriately documents all issues utilizing online systems and procedures. and in accordance with all applicable guidelines and requirements.