Call Center Representative

GENERAL FUNCTION

Provide exceptional customer service and support to EyeMed Members, Providers (DONL’s and panel participants) and Store Divisions (Lenscrafters; Pearle; etc.)

MAJOR DUTIES AND RESPONSIBILITIES

• Provide member service support, over the phone, in a timely, consistent and courteous manner to EyeMed members and providers
• Assist EyeMed members by answering benefit questions, eligibility, web registration, authorizations, provider location inquiries, and claims details
• Interface with providers to verify member eligibility and authorize services
• Review claims details, research payment issues, investigate provider network details
• Use system tools as appropriate to escalate issues between the various functional areas within EyeMed
• Must meet Customer Care Center productivity and quality goals

COMMUNICATIONS WITH OTHERS

• INTERNAL - Call Center associates and other EyeMed functional areas
• EXTERNAL - Members/Providers

SKILLS & QUALIFICATIONS

• Excellent verbal and written communication skills
• Excellent telephone skills
• Excellent active listening and comprehension skills
• Ability to demonstrate empathy to the caller’s situation
• Ability to provide exceptional customer service
• Exhibit resourcefulness in resolving problem situations
• Manage time and multiple tasks effectively

EXPERIENCE

• Call Center experience preferred
• 1 – 2 years of experience in a professional business environment preferred
• Knowledge of vision benefits and/or insurance industry a plus

EDUCATION

• High School diploma required
• College or University degree (preferred )

All your information will be kept confidential according to EEO guidelines.