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Customer Service Specialist

NFP Health

Customer Service Specialist

Albuquerque, NM
Full Time
Paid
  • Responsibilities

    Job Description

    NFP Health, a leader in the public & private health insurance exchange space, is looking for ambitious and passionate Customer Service professionals to join our team! As a member of our local NM team, you will be joining a new office in downtown Albuquerque as a critical part of our core team of Client Relationship Specialists.

    Primary responsibilities will include answering and responding to incoming customer calls in a proficient and timely manner. The ideal candidate will be fast learning, motivated and dedicated to NFP Health’s start-up goals within the New Mexico Health Insurance Exchange space.

    RESPONSIBILITIES:

    • Field incoming calls regarding health insurance and benefits, billing services, and general questions or concerns
    • Conduct outbound calls to clients as needed in support of business activities.
    • Document all client and broker interactions in our CRM platform.
    • Respond quickly and accurately to all customer inquiries, demonstrating expertise and knowledge of products and processes. Facilitate escalations when appropriate.
    • Process customer payments over the phone, including explanation of the process and legal disclosures as needed.
    • Advise customers regarding policy and provide benefit information across multi-carrier health insurance plans. Provide assistance with the selection and administration of health insurance plans.
    • Maintain a thorough and up-to-date understanding of all internal policies and procedures, as well as insurance carrier specific guidelines.
    • Navigate a computerized data entry system and other relevant applications.
    • Draft professional email and business communications for both internal and external audiences.
    • Additional duties as assigned.

    ​QUALIFICATIONS:

    • Proven administrative and customer service experience, call center experience preferred.
    • Basic understanding of benefits plans and the health insurance industry, including familiarity with HIPAA regulations and knowledge of current health care landscape. Experience at major health insurance carrier is a plus.
    • Familiarity with CRM systems and practices, experience with Salesforce is a plus.
    • Excellent communication (both verbal and written) and problem-solving skills. Ability to maintain a calm demeanor and de-escalate customer conflict.
    • Ability to effectively multitask and possess excellent attention to detail with exceptional follow-up skills.
    • Proficient in Microsoft Office, including Word, Excel, and Outlook
    • Bilingual in English/Spanish is a plus.

    NFP Health is an inclusive Equal Employment Opportunity employer.