Customer Service

Customer Service Representative

Quality Plan Administrators, Inc.

Washington, DC 20012 (Shepherd Park area)

$14 - $17 an hour

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Preference: bi-lingual skills, resident of the District of Columbia, associates degree

Compensation will be based on previous experience

Job Title: Claims Representative/Administrative Support/Customer Service

This position will report directly to the Office Manager and the Claims Manager. The primary duties for this position are providing administrative support to the Claims Department and Claims Manager. Additional responsibilities include, but are not limited to, the following: provide support by answering claims inquiries from plan members and providers; perform data entry as it pertains to the Claims Department and Customer Service.

General Duties:

Provide general office support for the Office Manager/Administration by assisting with important project assignments i.e. (proposals, etc.). Perform word processing support including spreadsheets, presentations, reports and other documents. Professionally answers telephone calls, responding to routine questions, screening calls, taking accurate messages and rerouting calls when appropriate. Possess excellent communication and customer service skills; attention to detail and focus on accuracy; strong team player; ability to juggle multiple tasks simultaneously, and readily adapt to changes in the office.

As a member of the Claims Department Team, Claims Representative will take instruction from the Claims Manager and follow established guidelines by the company and the Manager. Employee will perform the following tasks on a daily basis.

* Data entry

* Time Management

* Keyboard skills

* Customer service focus

* Front-line telephone support to patients and providers

* Respond to inquiries regarding benefits, claims, referral procedures, services

* Maintain accurate and current records of all inquiries and follow-up as needed

* Document and report all complaints and perceived problems

*Possess Genuine care about the members and providers participating in the Plans

* Work in Window-based environment

* Maintain pleasant disposition when handling member and providers

* Receive customer service skills training

*Dependability

*Common Sense

* Able to think on one's feet

* Able to meet production requirements (# of calls per hour)

* Knowledge of medical terminology

Other Duties Assigned:

Maintain a neat and organized office. Order supplies, and accept deliveries, copy, fax and perform general office duties.

Job Types: Full-time, Part-time

Salary: $14.00 to $17.00 /hour

Experience:

• dental / vision: 2 years (Preferred)
• customer service: 1 year (Required)

Education:

• Associate (Preferred)

Location:

• Washington, DC 20012 (Preferred)

Language:

• English & Spanish (Required)

Shifts:

• Morning (Preferred)
• Mid-Day (Preferred)
• Evening (Preferred)
• Graveyard (Preferred)

Work Location:

• One location

Benefits:

• Health insurance
• Retirement plan
• Paid time off
• Flexible schedule

Communication method(s) used:

• Email
• Phone
• In person

Hours per week:

• 10-19
• 30-39

Typical start time:

• 8AM

Typical end time:

• 9PM

This Job Is:

• A “Fair Chance” job (you or the employer follow Fair Chance hiring practices when performing background checks - learn more at https://start.indeed.com/fair-chance)
• A job for which all ages, including older job seekers, are encouraged to apply
• Open to applicants who do not have a college diploma

Schedule:

• Monday to Friday
• Weekends required
• Holidays required
• Day shift
• Night shift
• Overtime
• 8 hour shift
• Overnight shift