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Enrollment Eligibility Representative II
Job Details
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:
Processes and maintains eligibility information for routine individual and/or employer groups under general supervision.
- Maintains accurate eligibility records for individuals and/or assigned employer groups
- Process all enrollments; plan changes, and disenrollment transactions
- Reviews aging to determine delinquent accounts, membership reconciliation issues from premium issues
- Produces and distributes delinquent notices to members
- Provides daily support on incoming verbal or written correspondence enrollees regarding eligibility and processing status
- Communicates policies, procedures and benefits to employees, enrolled members or, if applicable, employers
- Interacts with staff in other departments to clarify and resolve eligibility problems presented by members
- Provides cross training and back-up assistance to other enrollment groups
- Provides support within service operations as needed such as Membership Accounting
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience:
High School diploma or equivalent required. Two years general office work experience with attention to detail. One year previous experience in an HMO insurance or medical setting preferred. Medicare enrollment processing experience highly preferred.
Pay Range: $15.87 – $27.25 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
APPLY HERE: Enrollment Eligibility Representative II
Build Resume for $1 Join Extra Leads Club for $1Member Service Representative – Contact Center
Job Details
Mission:
In the Senate Community tradition of service, we strive to improve the financial wellness of our members throughout all stages of life by integrating sustainability and security into every financial solution.
Culture Competencies: S.T.R.I.V.E
- Maintains our members’ and employees’ trust by safeguarding their financial data and information.
- Values and respects everyone’s abilities, opinions and feedback to achieve trust, safety, and well-being in a friendly, welcoming and cooperative environment. Actively devoted to our motto of ‘better together’.
- Is honest, professional, authentic, and genuine in creating relationships that are uncompromising and true to ethical principles.
- Generates new ideas, supports change, provides new efficient solutions and solves problems creatively while balancing risk.
General Summary
The primary purpose of this position is to assist USSFCU in living out our cultural values of relationship and service focused as we create and maintain authentic and genuine relationships with members and employees. Under general supervision, but in accordance with established policies and procedures, provides quality service to all members via the call center channel with a positive and helpful demeanor. The MSR I determines member needs, promotes and refers the appropriate products and services. Opens new accounts and shares while building rapport with the member as a trusted financial partner in order to build the member relationship. Assists members in identifying account issues and provides resolution. Works with the Call Center Team to achieve and exceed prescribed sales and service goals.
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Major Duties & Responsibilities
- Represents the Credit Union in a courteous, engaging, professional manner and provides excellent member service to both members and internal teammates. Is efficient, results driven, and accurate. Understands the impact of their behavior and performance on the credit union, the members, potential members and teammates.
- Able to navigate through multiple computer applications and screens, while simultaneously engaging with members either in person or by phone. Utilizes other channels such as email or chat to communicate with members. Performs file maintenance and processes changes on member accounts, to include but not limited to, address changes and name modifications. Able to problem solve and find solutions.
- Conducts consultative interviews and actively listens in order to assess member’s financial needs. Identifies products and services appropriate to the members’ situation. Opens new accounts accurately and promptly.
- Is accountable to ensure that any exceptions and errors are minimal. All exceptions and errors promptly addressed and corrected.
- Provides accurate information as they assist members with all general inquiries regarding accounts, products and services. As appropriate, advises members of regulations applicable to these policies and procedures.
- Processes member electronic transaction requests such as share to loan payment transfers, check orders, etc. Responds to member inquiries regarding account errors, discrepancies or other concerns. Provides solutions for the immediate situation as well as to help prevent possible recurrence of the same issue.
- Actively engages and participates in training, coaching sessions, team meetings, group discussions and motivational/ promotional activities with the organization. Completes assigned training initiatives as required within the prescribed timeframe.
- Works with other team members and departments to provide assistance and resolution to member inquiries.
- Works ‘Better Together’ with other team members to promote teamwork, unity, and consistent operations. Works with the credit union team to meet and exceed departmental and organizational goals as well as any assigned individual goals. Is results driven, possesses a high sense of urgency and is self-motivated to succeed. Able to multitask, requiring good organizational skills.
- Complies with all applicable Rules, Regulations and Statutes of the NCUA and other appropriate governing bodies to include but not limited to: the Credit Union Bylaws, Credit Union Code of Conduct, Credit Union Employee Guidebook, Bank Secrecy/Anti-Money Laundering Act, Fair Housing Act, Fair Lending Act, and Fair Credit Reporting Act.
- Ability to perform duties defined in Credit Union Security Program and Disaster Recovery Plans.Â
 Non-essential Duties & Responsibilities
- Performs other duties as assigned.
Experience and Skills
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Education and Experience: Bachelor’s degree or High school diploma/equivalent and 1-year general work experience in a call center or customer service-based environment. Knowledge of consumer lending, or new account opening in a financial setting are preferred, but not required.
Skills:Â Knowledge of PC applications including word and excel are required. Good organizational skills, the ability to multi-task and attention to detail are required.
Communication:Â Requires excellent interpersonal skills, the ability to communicate through multiple channels and the ability to listen to member needs and to advise appropriate Credit Union products and services.
Location: Remote opportunities in the following states ONLY: MD & DC (Minimum $47,772.01 – $71,658.01), VA, CT, NC, SC, LA, TX, FL; Chicago, IL ($43,088.48 – $64,632.71);Â Somerville, MA ($45,898.59 – $68,847.89).
Supervisory:Â None Required.
Time in Service:Â None Required.
Benefits:Â Health Insurance including Medical, Dental, Prescription, Vision, 401(k) Retirement Plan, Incentive bonus, 12 Holidays, 15 Vacation days, 9.75 Sick days, Flexible Spending Account, Life Insurance, Free parking or Metro Smart Benefits and Tuition reimbursement.
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Equal Opportunity Employer/Veterans/Disabled
An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status, and will not be discriminated against on the basis of disability.
APPLY HERE: Member Service Representative – Contact Center
