Remote Customer Support 1 Claims

Note: The job is a remote job and is open to candidates in USA. Sunrise Systems, Inc. is seeking a Customer Support 1 - Claims for a leading Insurance Company. The role involves providing efficient customer support, responding to inquiries, and ensuring accurate documentation and resolution of issues.ResponsibilitiesEnsure accurate, timely, and efficient customer supportRespond to customer inquiries in a manner that supports the achievement of goalsRespond to customer inquiries ranging from routine to complex from members, clients, providers, and internal/external business partners; inquiries may range from telephone, in person, or via the internet/e-emailRequires in-depth knowledge in the following areas: Prescriptions, Plans, Products, Services, and Procedures Online purchasing & e-Commerce knowledge Internet knowledge Payment processing/payment collections Eligibility verification Order Status, Shipping Status, and Stock AvailabilityAccurate completion of necessary documentation, letters, and forms processingQuality Assurance testing for company software Research and resolve issues/complaints and determine appropriate resolution(s)Solve problems and assist with issues that may not fit the 'cookie-cutter' solutionEffectively educate and influence customers and prospective customers on the value and benefits that the company offers through its products, services, and solutions Identify customer trends and communicate to appropriate business partners, leaders, and divisions; suggest necessary corrections, changes, or solutions; appropriately elevate situations that could have organization-wide impactsEffectively maintain specific line of business Customer Service standards and support level standards Remain current on all changes to Customer Service policy, procedures, and product/services/solutions information to respond to customer inquiries accurately and consistentlyMay require attendance at benefit fairs, open enrollment meetings, and client meetings to provide information to attendees; available for occasional overnight travelMay support Sales Representatives for any inquiry related to their customer ordersMay be the first point of contact for Sales Representatives, not related to customer ordersMay process claims based on business needs and workflow fluctuationsSkillsOne to two years of customer service experience in handling moderate to complex customer inquiries in call center, insurance, manufacturing, software, telecommunications, retail, or eyewear industriesAvailable to work any shift, including weekends, holidays, and/or overnightDemonstrated internet knowledge and understanding of basic internet browser settingsDemonstrated ability to work with multiple software programs, simultaneouslyWorking knowledge of MS Office packageEffective verbal communication skills to prioritize multiple tasks and to be available for incoming calls and inquiriesEffective written communication skills to clearly document customer situations, as well as prepare letters to confirm agreements madeExcellent interpersonal and rapport-building skillsAbility to ask appropriate and relevant questions to identify customer needsProven problem-solving, negotiations, and decision-making skillsAbility to use appropriate discretion and judgment in applying customer/call handling guidelinesAbility to listen, process transactions and interact with customers simultaneously in a fast-paced environmentIn order to perform the duties of a Customer Support Representative successfully and consistently on our systems and networks, the following internet and equipment are required: OS (Provided) Windows 10 CPU (Provided) Intel CoreTM i5-7500 (4 Cores/6MB/4T/3.6GHz) Memory (Provided) 16GB 2X8GB 2666MHz DDR4 Memory Hard Drive (Provided) 256GB Solid State Hard Drive Wired Headset (Provided) Yes Wired Connection (to Router/Modem; Cable/wire provided) Router/Modem NOT provided Yes Download Speed (per user on home network) 50 Mbps Upload Speed (per user on home network) 10 Mbps Loaded Latency < 150 msBenefitsACA compliant medical coverage/dental insurance/vision insurance to all employeesSick time benefits as required per State regulationsCompany OverviewSunrise Systems was founded in 1990 with a clear vision to deliver world-class staffing service solutions in all labor categories, including IT consulting and solutions; all with the commitment to provide service that exceeds expectations and become the most trusted name in the industry. It was founded in 1990, and is headquartered in Edison, New Jersey, US, with a workforce of 501-1000 employees. Its website is http://www.sunrisesys.com. Apply To this Job .