Contact Center - Contact Center Customer Service Representative

Who We Are

Wellcove has been recognized as the nation’s leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care and Medicare Supplement plans. However, we don’t stop there. Wellcove also addresses challenges faced in accident & health, disability, and supplemental health insurance programs.

Job Summary 

This job provides customer service in a call center environment by primarily receiving and responding to telephone inquiries from policyholders, beneficiaries, providers, agents, or others for information concerning insurance policies by performing the following duties. 

Supervisory Responsibilities: 

This job has no supervisory responsibilities. 

 Duties/Responsibilities: 

• Provides information and assistance to providers, agents, policyholders, and others by responding to telephone inquiries from CHCS third third-party administrator clients to include Medicare Supplement and Life Policies. 

•  Accurately provide information regarding various insurance questions (i.e., verification of benefits, claims status) by accessing and updating software system data within company response standards.  

• Provides service and follow-up on insurance questions by researching company records to obtain information requested by customer, performing routine transactions, and retrieving results from an online terminal. 

• Maintains working knowledge base of all company products and services. 

• Complying with company regulations regarding Privacy, confidentiality, and private health information. 

• Providing written and oral communication to policyholders, agents, providers, and others regarding inquiry status and resolution. 

• Initiate and complete Call Tracks, checklists, and supportive clerical responsibilities as necessary. 

• Ability and Flexibility to work various shifts as required.  

• Able to type speed of 30 wpm with 95% accuracy rate 

Required Skills/Abilities: 

To perform this job successfully, an individual must be able to perform each essential duties satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

• Accurately entering data via Windows-based environment 

• Intermediate computer skills 

• Knowledge use of basic math and English spelling and grammar skills 

• Ability to read and comprehend simple instructions, short correspondence, and memos.  Ability to write simple correspondence.  Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. 

• Customer Service, Integrity/Honesty, Oral Communications, Motivation, Organizational/Planning/Organizing 

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rates, ratio, and percent and to draw and interpret bar graphs. 

• Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.  Ability to deal with problems involving a few concrete variables in standardized situations. 

Standard Company Requirements: 

• Collaborative team spirit. 

• Accountable and able to work remotely and independently. 

• Able to pass background screening and drug tests pre and post hire – includes THC 

• Verification of high school, GED, or college diploma upon request. 

• Timely responses from three professional references.  

• Able to provide a dedicated remote work location free from background noises, interruptions, and desk clutter. 

• Able to provide an ongoing reliable internet connection and access to a smart phone for Multi Factor Authentication and communication purposes.