Full Job Description Customer Service Representative Decatur, Illinois

• Full Time | 8:00 a.m.
• 4:30 p.

m. M-F | 100% In-Office The Customer Service Representative serves as frontline support for the organization and works in a fast-paced, high-volume call center environment. This position spends the majority of the workday handling incoming phone calls from health Plan participants and providers regarding benefits, health care insurance claims, eligibility, coverage, and other Plan-related inquiries. Customer Service Representatives are expected to efficiently research and resolve inquiries while maintaining a high level of professionalism and customer service. This includes reviewing health care insurance claims and documents, applying Plan provisions and internal processing guidelines, accurately documenting each phone interaction, and maintaining participant records. Representatives must be comfortable managing a steady volume of calls while navigating multiple systems and resources to provide accurate and timely information. In addition to primary customer service responsibilities, the Customer Service Representative will assist with processing medical claims and perform other duties as needed. Bilingual (English/Spanish) skills are preferred to support our diverse Plan participant base. Essential Functions of the Position High-Volume Customer Service / Phone Support

• 75% Processing Health Care Claims
• 15% Other Duties as Assigned
• 10% Position Expectations Success in this position requires the ability to work efficiently and accurately in a fast-paced environment while maintaining professionalism throughout a high volume of participant and provider interactions.

Strong communication skills, attention to detail, time management, dependability, good computer/office-based skills, and the ability to learn and apply Plan provisions and internal policies and procedures are essential. Regular and reliable attendance is an essential function of this position.

NECA-IBEW

maintains a strict attendance policy, and employees are expected to report to work consistently and on time. Union-Represented Position This is a union-represented position covered by a collective bargaining agreement. You do not need to be a union member to apply. Union membership and applicable dues obligations following hire are governed by the collective bargaining agreement and applicable law.

NECA-IBEW

is a drug-free workplace. We conduct pre-employment and random drug testing, excluding marijuana.

Job Type:

Full-time Pay:

$21.14 per hour

Benefits:

Health Insurance

• Medical, Dental, Vision, Life, and Disability insurance
• premiums fully paid by the employer 401(k) with employer match Pension plan
• fully funded by the employer Flexible schedule upon seniority Paid holidays off Paid time off

Job Type:

Full-time Pay:

$21.14 per hour

Benefits:

401(k) 401(k) matching Dental insurance Flexible schedule Health insurance On-the-job training Paid time off Vision insurance

Language:

Spanish & English (Preferred) Ability to

Commute:

Decatur, IL 62526 (Required)

Work Location:

In person