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Full-time Client Services Rep

at Coventry Health Care, Inc. in Utah

Your Standard is Excellence

You've been looking for an opportunity to work with people who share your commitment to a higher standard. You imagine building a career and even enjoying your work.

Good News.

We've been looking for you, too!

Coventry Health Care is a leader in the managed care industry. Great people enable us to provide service that differentiates us from the competition. We offer a highly rewarding professional environment built around meaningful assignments, collaborative work environments and excellent training and development opportunities. We are a Fortune 500 company, and are proud to have also been named to Forbes Platinum 400 and Barrons 500.

At Coventry Health Care, you'll have the opportunity to collaborate with talented and dedicated professionals while developing and expanding your career. Consider building a career with us!

Under local Service Operations management supervision, responsible for
investigating, analyzing and resolving complex client specific concerns related
to systems, claims, networks or providers. Ensures adherence to established
policies and guidelines to meet or exceed customer service requirements.

ESSENTIAL RESPONSIBILITIES
- Responsible for building and strengthening client/account relationships by
responding to inquiries and resolving concerns through active cross-functional
team participation. Works with various internal departments, including but not
limited to, Operations, IT, Account Management, Compliance and Regulatory.
- Effectively communicates with client via email, telephone or fax to assist
with problem identification and/or resolution to achieve customer satisfaction.
- Independently prioritizes, plans, and determines a course of action to resolve
complex escalated issues.
- Answers complex questions regarding fee schedules and PPO applications.
Provides feedback to appropriate internal staff if trends are identified.
- Develops and maintains an issues log within a database system, which will
allow for reporting on a weekly and monthly basis.
- Escalates issues related to software and/or business rules when problems or
trends are identified within the established software applications.
- Identifies and develops process improvement opportunities. Communicates with
appropriate personnel prior to implementation.
- Identifies areas of training opportunity. Presents recommendations to
management.
- Participates on daily/weekly/monthly customer conference calls as required.
- Performs other duties as assigned.

JOB SPECIFICATIONS
- High school degree or equivalent.
- Previous (4-5 years) customer service and claims industry experience.
- Excellent planning and organizational skills.
- Demonstrated problem solving skills and able to work with a high sense of
urgency in a fast paced environment.
- Excellent written and verbal communication skills.
- Detail-oriented, ability to prioritize, and complete multiple tasks in a
self-paced environment.

It's easy to build your career at Coventry.

Visit our website where you can view our open positions and learn more about your next opportunity with Coventry!

http://careers.cvty.com


How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://coventry.contacthr.com/15558109


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Published on Mar 26, 2010
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