Job Title: Customer Services Specialist

Location: Not specified

Job Summary:
This position focuses on enhancing customer relations for all HAP product lines. Responsibilities include providing prompt and courteous resolution to member inquiries, supporting corporate and departmental goals, investigating and resolving service failures, and educating members to promote HAP as the health care coverage of choice. The role also involves identifying root causes of issues, recommending resolutions, and ensuring compliance with all standards and regulations.

Required Qualifications:

• Minimum of two (2) years of recent Customer Service or Call Center experience within the last three years.
• Dependability and a high degree of integrity, patience, maturity, empathy, tact, and diplomacy.
• Strong problem-solving skills, flexibility, good judgment, and ability to provide service excellence.
• Ability to handle multiple priorities concurrently in a timely and accurate manner.
• Strong interpersonal, listening, verbal communication, and business writing skills.
• Proficiency in using a PC and various Microsoft programs.
• Fundamental understanding of HMO/PPO/POS delivery systems and claims billing.
• Willingness to work flexible shifts, including evenings and weekends, as requested or scheduled.

Preferred Qualifications:

• Not applicable.

Required Education:

• Course in Medical Terminology (required completion within six months post-employment).
• Associate’s Degree OR a minimum of four (4) years of recent and related work experience in a customer service capacity may be considered in lieu of the degree.

Preferred Education:

• Not applicable.

Required Certification & Licensure:

• Not applicable.

Preferred Certification & Licensure:

• Not applicable.