Customer Service Representative I at Centene in Bedford, NH

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HourlyPosition Purpose: Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner.

  • Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
  • Provide assistance to members and/or providers regarding website registration and navigation
  • Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
  • Process written customer correspondence and provide the appropriate level of timely follow up
  • May coordinate member transportation and make referrals to other departments as appropriate
  • Maintain performance and quality standards based on established call center metrics including turn-around times
  • Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
  • Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction
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