Medicare Member Services Representative
Benefytt Technologies
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Tampa, FL
Tampa, FL
Benefytt is a company with a deep commitment to creating a work environment in which our team members can flourish. We’re a rapidly growing company on the lookout for talented, dedicated professionals who enjoy very competitive salary and benefit packages (including health/vision/Life/STD/LTD/401(k)/Medical, Dependent Care and Transit/Parking Flex Spending Accounts) as well as Generous Paid Time off and company-paid holidays.
The function of the Medicare Member Services team is to provide inbound and outbound telephonic Customer Service for our Medicare membership. The team will make outbound calls to inform Members of what to expect with their new policy, assist them in accessing their benefits, and ensure Member Satisfaction. They will also handle incoming calls from Members with varying inquiries and will be responsible for going above and beyond to assist the member within the Policies and Procedures governing the department.
Essential Duties and Responsibilities:
• Presenting benefit information over the phone, mailing appropriate enrollment information to Medicare beneficiaries and provide information with completing the enrollment process.
• Follow all state and regulatory guidelines by adhering to program requirements implemented by CMS (Centers for Medicaid and Medicare Services). This includes, following CMS approved scripts and department policy and procedures that foster compliance.
• Demonstrate and maintain knowledge of all state and regulatory guidelines by adhering to program requirements implemented by CMS (Centers for Medicaid and Medicare Services). This includes, following CMS approved scripts and department policy and procedures that foster compliance in the Medicare Advantage market.
• Initiate the follow up calls (outbound calling) on all prospect requests with PTC (permission to call) for additional Medicare products information.
• Complete the 5/45/90 day Welcome Calls. Adhere to required follow-up department goals.
• Must understand how to qualify prospects for all Medicare products and efficiently manage the designated work lists and scheduled customer calendar events in CRM system.
• Adhere to the process “Do Not Solicit” calls and other duties based on business needs.
• Contribute to team effort by accomplishing related results as needed
Education and Work Experience:
• Minimum 1 year call center customer service experience, preferably in the insurance industry
• Florida 2-15 or 2-40 active resident license required
• Ability to work a flexible schedule to meet the growing needs of the department and Company
• Ability to obtain AHIP-certification required
• Demonstrable computer proficiency with MS Office and the ability to learn other software as needed
• Excellent attention to detail
• Effective listening, written and verbal communication skills
• High school diploma/GED
Attendance Requirements:
Due to the nature of Benefytt Technologies, Inc. needs, regular and reliable attendance is required. Individuals must be able to work at least a 40 hour work week, Monday through Friday, and be available as situations arise requiring extended hours.