Policyholder Service Representative
Kforce Inc

Job Info

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RESPONSIBILITIES:

Kforce has a client that is seeking a Policyholder Services Representative in South Omaha, NE.Summary:As a Policyholder Services Representative I (-PHS Rep I-) you will be responsible for responding to inbound customer service inquiries, complaints, and service requests in a professional and timely manner. This position is often the first contact with policyholders and/or their representatives requiring a commitment to client sensitivity, service, and guideline adherence. PHS Reps I spend 80% or more of their day responding to telephone and/or written inquiries from policyholders and/or their representatives. This position requires a willingness and ability to sustain the demands of a telephone support role within a collaborative team environment. The PHS Rep I is responsible for: AIC and COF policy & benefits calls; process address changes, terminations due to death, PHI authorizations, 3rd parties, and SSN updates/requests.

REQUIREMENTS:

• High School diploma/GED required; Post-secondary degree preferred
• Prior customer service experience required; Insurance or medical background preferred
• Organizational experience with an eye for detail
• Understanding of medical terminology, health insurance, claims, and/or LTC preferred
• Proficient computer skills and experience in Microsoft Office products required
• Proven interpersonal, verbal, telephonic, and written communication skills with ability to type 35 wpm
• Must possess a high degree of tact, empathy, and professionalism when dealing with all customers
• Must utilize active listening skills with ability to ask appropriate questions to fully understand the need/s
• Effectively relay complex insurance information and policy language into basic understandable concepts
• Ability to apply learned principles to specific and unique circumstances
• Effectively respond to written communication utilizing proper grammar and punctuation
• Detail oriented with ability to work independently as well as part of a team
• Solid knowledge of Microsoft Office products with ability to learn new system applications quickly
• Ability to toggle between multiple screens while speaking with customers and documenting the system
• Proactively provide creative and analytical recommendations to management for process and performance improvement

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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