Tracking Code 18-168T Job Description ConnectiCare is a leading health plan in the state of Connecticut. ConnectiCares mission is to make it easy for members to get the care they need. A local company for over 35 years, ConnectiCare has a full range of products and services for businesses, municipalities, individuals and those who are Medicare-eligible. A subsidiary of EmblemHealth, ConnectiCare leads the individual and small group markets in the state, and is ranked among the top commercial health plans in the nation, according to the National Committee for Quality Assurance. Were looking for individuals who want to make a difference in the communities we serve. If you want to join a local team and help change the way health care is delivered, ConnectiCare is the place for you. Temp to hire Opportunities - class starting December 3rd! Purpose: To provide high quality service to members, providers and facilities; acting as a customer advocate in providing high quality, accurate, concise, proficient and professional assistance. Key Accountabilities: Receives and responds to inquiries/issues from members, providers and facilities regarding benefits, coverage, payment, coding and health service policies and procedures. Inquires/issues could come via including but not limited to telephone calls, mail, correspondence, internet, etc. Simultaneously log all inquiries in call tracking system accurately with content and description of question/issue and resolution. Collaborates with all CCI departments to identify issues or areas of concern for members and providers. Researches and analyzes recurring trends, problems and complaints to determine root cause; recommends solutions and/or resolutions. Provides instruction/education to members, providers and facilities on CCI Policies and Procedures. Follows through with callers when inquiries/issues cannot be resolved on first contact. Displays a can do attitude and embraces ConnectiCares you know us by heart philosophy. Performs other related projects and duties as assigned. Required Skills Technical Knowledge and Experience: Post High School education/training or equivalent combination of education and experience. At least 2 years of previous customer service experience, highly desired in a medical environment or call center environment. Knowledge medical terminology and coding strongly preferred. Excellent oral, written and interpersonal communication skills required. Previous system user experience in a fast paced highly automated environment required. Strong PC skills required. Demonstrated organizational and problem solving skills. Excellent telephone manner; ability to handle high call volumes efficiently and courteously. Ability to perform in office environment with extended periods of sitting, using telephone, viewing computer screens, standing, reaching, lifting files, binders, computer reports. ESSENTIAL JOB REQUIREMENTS: Primarily sedentary Must be able to use standard office equipment. ConnectiCare is an equal opportunity employer. M/F/D/V ConnectiCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Location Farmington, Connecticut, United States Position Type Temp-To-Hire