Job Details

Nature of Work

Under the direct supervision of the Customer Service Manager, the Customer Service Representative is responsible for ensuring member and provider satisfaction in a timely and organized manner. Services may be rendered in person or over the phone.  

Essential Duties and Responsibilities

• Maintains updated knowledge on schedule of benefits for member groups
• Greets members in person and by phone
• Assists members with understanding and completing necessary forms
• Responds to customer inquiries regarding insurance coverage, explains the schedule of benefits
• Records customer interactions on the call tracking system
• Responds to provider inquiries regarding eligibility and status of claims 
• Collaborates with other department to resolve member/provider discrepancies
• Coordinates off-island appointments
• Reports daily activities to manager
• Performs other related duties as assigned

Position Requirements

• High school diploma or GED equivalent
• Minimum 1 year in customer service or related experience

Core Competencies

• Excellent verbal and written communication skills
• Excellent telephone etiquette skills
• Intermediate proficiency with Microsoft Office applications 
• Efficient operations of basic office equipment (computer, phone, fax, copier)
• Ability to multitask effectively
• Organized and motivated with a positive attitude.
• Embrace challenges and resolve issues professionally
• Dependable, adaptable and collaborative team player

Calvo's Insurance Underwriters, Inc. is an Affirmative Action and Equal Opportunity Employer.