Talent.com
Customer Care Representative I
Customer Care Representative ISKYGEN • Menomonee Falls, Wisconsin, United States
No longer accepting applications
Customer Care Representative I

Customer Care Representative I

SKYGEN • Menomonee Falls, Wisconsin, United States
30+ days ago
Job type
  • Full-time
Job description

Important things YOU should know :

  • Fully remote opportunity
  • Training schedule (Initial 90 days) : 8 : 00am - 4 : 30pm Monday - Friday CST
  • Work schedule (after training) : 10 : 30am - 7 : 00pm Monday - Friday CST
  • Hours of operation : 7 : 00am - 10 : 00pm CST Monday - Friday so shift could flex based on business need
  • $2.00 / hour differential on Mon / Tues
  • Occasional evenings, weekends and holidays possible during Annual Medicare Open Enrollment : 10 / 1 - 3 / 31
  • Exceptional professional growth in a fun rewarding environment

What will YOU be doing for us?

Our Customer Service Representatives must have strong problem-solving skills, coupled with the natural ability to provide empathy for the customer - always taking the time to patiently listen and understand their questions to help find a viable solution, while providing them with a memorable customer experience.

What is in it for YOU?

  • Career growth in an inclusive culture
  • Paid training
  • Health benefits
  • 401(k)
  • What will YOU be working on every day?

  • Servicing our Dental and Vision inbound callers with information regarding their eligibility, benefit coverage, authorizations, claims, and assisting them with locating a provider in their area,
  • Utilize knowledge of claim adjustments and resubmission processes to determine appropriate resolution to provider requests.
  • Provide feedback to Provider Relations staff on high-level claim issues including but not limited to issues with reimbursement schedules or conflicting information to ensure providers receive a prompt resolution.
  • Support enrollment activities including but not limited to assigning primary care providers, and updating third party insurance information.
  • Act as liaison between our organization and the client's Member Services staff to resolve issues such as eligibility and filing appeals and grievances.
  • Provide updates to providers with questions regarding the status of their credentialing application.
  • Recognize provider questions that could be handled through the use of the provider web portal and provide education to these callers on the benefits of utilizing the technology available.
  • Ensure all calls are answered according to company and client guidelines.
  • Accurately document call information and resolution in our internal systems.
  • Apply effective diffusion techniques when necessary to ensure our customers feel heard, valued and supported.
  • Properly identify issues that need to be escalated appropriately to the leadership team.
  • Additional Responsibilities :

  • Provide recommendations on system enhancements and process improvements to management.
  • Keep our Provider Relations team updated with provider manual discrepancies, change in locations or any other provider related issues.
  • Participate in departmental projects when applicable.
  • What qualifications do YOU need to have to be GOOD candidate?

  • Required Level of Education, Licenses, and / or Certificates
  • High school diploma or equivalent.

  • Required Level of Experience
  • 1+ years of job related customer service experience within industries such as healthcare, call center, banking or retail.

  • Required Knowledge, Skills, and Abilities
  • Basic knowledge of Microsoft Office products including but not limited to Word, Excel, and Outlook.

  • Ability to work occasional overtime as needed.
  • Excellent listening and communication skills.
  • Superior customer service skills including the natural ability to provide empathy.
  • Strong data entry / typing skills.
  • Strong navigation skills and the ability to multi-task.
  • Excellent attention to detail.
  • Critical thinking skills to quickly analyze and clearly understand a specific request or customer need and then leverage knowledge and resources to provide the appropriate solutions.
  • What qualifications do YOU need to be a GREAT candidate?

  • Preferred Level of Experience
  • 1+ years of job related customer service experience within the dental, vision or medical industry.

  • Previous experience working in a virtual environment.
  • Understanding of dental, vision and / or medical insurance terminology.
  • Create a job alert for this search

    Customer Care Representative • Menomonee Falls, Wisconsin, United States

    Related jobs
    Customer Care Representative I

    Customer Care Representative I

    SKYGEN • Menomonee Falls, WI, United States
    Full-time
    Important things YOU should know : .Training schedule (Initial 90 days) : .Work schedule (after training) : .Hours of operation : 7 : 00am - 10 : 00pm CST Monday - Friday so shift could flex based on busine...Show more
    Last updated: 2 days ago • Promoted
    Customer Service Representative III

    Customer Service Representative III

    Watts Water • Menomonee Falls, WI, US
    Full-time
    Watts : Reimagining The Future Of Water.Together, we're reimagining the future of water.We feel proud every day about what we do. We're all part of the same crucial mission, no matter what function w...Show more
    Last updated: 30+ days ago • Promoted
    Sales & Customer Service Support Representative

    Sales & Customer Service Support Representative

    Naturescape • Muskego, WI, US
    Full-time
    Sales & Customer Service Support Representative.Naturescape is seeking to hire a full-time Sales & Customer Service Support Assistant to provide support to all our branches from our home office in ...Show more
    Last updated: 30+ days ago • Promoted
    Inside Sales / Customer Service Representative (Elkhart Lake)

    Inside Sales / Customer Service Representative (Elkhart Lake)

    Plyco Corporation • Elkhart Lake, WI, US
    Part-time
    For over 70 years Plyco has been a leading supplier of products to the post frame, metal clad building and commercial construction industries. Plyco is based in Elkhart Lake Wisconsin and is seeking...Show more
    Last updated: 24 days ago • Promoted
    Customer Satisfaction Representative

    Customer Satisfaction Representative

    Brunswick • Menomonee Falls, WI, US
    Full-time
    Customer Satisfaction Representative.Are you ready for what's next? Come explore opportunities within Brunswick, a global marine leader committed to challenging conventions and innovating next-gene...Show more
    Last updated: 20 days ago • Promoted
    Customer Service Representative / Inside Sales - B2B

    Customer Service Representative / Inside Sales - B2B

    Custom Fabricating & Supplies • Franklin, WI, US
    Full-time
    Custom Fabricating & Supplies (CFS).Customer Service / Inside Sales Representative.This is not a closing sales role-you'll focus on identifying opportunities and connecting prospects with o...Show more
    Last updated: 15 days ago • Promoted
    Inside Sales / Customer Service Representative

    Inside Sales / Customer Service Representative

    Plyco Corporation • Elkhart Lake, WI, United States
    Full-time
    For over 70 years Plyco has been a leading supplier of products to the post frame, metal clad building and commercial construction industries. Plyco is based in Elkhart Lake Wisconsin and is seeking...Show more
    Last updated: 24 days ago • Promoted
    Customer Care Associate

    Customer Care Associate

    Equiniti • Milwaukee, WI, US
    Full-time
    This role will be fully onsite in our Milwaukee, WI location Temporary Assignment lasting 3-8 months Start Date : December 8, 2025. Equiniti is a leading international provider of shareholder, pensio...Show more
    Last updated: 18 days ago • Promoted
    Temp-To-Hire Call Center Representative II

    Temp-To-Hire Call Center Representative II

    Conduent State & Local Solutions, Inc • Milwaukee, WI, United States
    Full-time
    Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clien...Show more
    Last updated: 1 day ago • Promoted
    Customer Care Advocate

    Customer Care Advocate

    Regal Rexnord • Milwaukee, WI, US
    Full-time
    Reports To : Supervisor, Customer Care.Location : Milwaukee, Wisconsin (HQ) - OR - Florence, Kentucky.Remote Type : Hybrid (3 days in office / 2 days remote). The Customer Care Advocate serves as the p...Show more
    Last updated: 30+ days ago • Promoted
    Technical Service Representative I

    Technical Service Representative I

    Generac • Waukesha, WI, US
    Full-time
    Technical Service Representative I.We are Generac, a leading energy technology company committed to powering a smarter world. Over the 60 plus years of Generac's history, we've been dedicated to ene...Show more
    Last updated: 24 days ago • Promoted
    Teller / Customer Service Representative III

    Teller / Customer Service Representative III

    Port Washington State Bank • Mequon, WI, United States
    Full-time
    Looking for a career that actually supports work-life balance? Join us at Port Washington State Bank - a locally owned, community bank with a true Midwestern spirit. We've proudly been named a Top W...Show more
    Last updated: 2 days ago • Promoted
    Customer Service Representative I

    Customer Service Representative I

    CorVel • Waukesha, WI, US
    Full-time
    Customer Service Representative I.The Customer Service Representative is responsible for addressing client and / or provider inquiries via email, fax, telephonic, or written correspondence ensuring a...Show more
    Last updated: 25 days ago • Promoted
    Inside Sales Representative

    Inside Sales Representative

    Evans Transportation Services, Inc • Delafield, WI, US
    Full-time
    We are seeking a highly motivated and results driven Inside Sales Representative to join our dynamic team specializing in Transportation Management Solutions. We are looking for a "Hyper Hunter...Show more
    Last updated: 2 days ago • Promoted
    Care Team Manager

    Care Team Manager

    Beacon Specialized Living • West Bend, WI, US
    Full-time
    Join the Beacon Specialized Living Services Team : Lead With Purpose! Are you looking for a leadership role where you can make a real difference in the lives of others? Do you have a passion for sup...Show more
    Last updated: 7 days ago • Promoted
    B2B Sales Representative

    B2B Sales Representative

    Slice Merchant Services • Sheboygan, WI, US
    Full-time
    Excellent opportunity to join a leading, national credit card processing company that has over a decade of industry experience. Slice has put together a comprehensive package of products and service...Show more
    Last updated: 3 days ago • Promoted
    Teller / Customer Service Representative I

    Teller / Customer Service Representative I

    Port Washington State Bank • Grafton, WI, United States
    Full-time +1
    Port Washington State Bank, a 15-time Top Workplace winner, is a community-minded bank where people build lasting careers. Whether you're exploring a new path or looking to grow your experience, thi...Show more
    Last updated: 2 days ago • Promoted
    Senior Inside Sales Representative

    Senior Inside Sales Representative

    Heartland Business Systems, LLC • Pewaukee, WI, US
    Full-time
    The Senior Inside Sales Representative (Sr.ISR), acting in a support role to Solutions Consultants, is responsible for introducing product offerings throughout the entire sales process to establish...Show more
    Last updated: 30+ days ago • Promoted
    Customer Care Representative (Full time)

    Customer Care Representative (Full time)

    Associated Bank - Corp • Hales Corners, WI, United States
    Full-time
    At Associated Bank we strive to create an inclusive culture where different perspectives are valued and recognized as strengths critical to our success. If you thrive in an environment where your gr...Show more
    Last updated: 2 days ago • Promoted
    Customer Service Representative

    Customer Service Representative

    HireTalent - Staffing & Recruiting Firm • Milwaukee, WI, US
    Full-time
    As a Key Accounts Specialist within the Americas Customer Care team, you will play a crucial role in enhancing our distributors' and customers' experiences with client. You will collaborate closely ...Show more
    Last updated: 1 day ago • Promoted