- Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. Confer with customers by telephone to provide information about Rx claims processing.
- Keep detailed records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.
- Follow-up to ensure that appropriate changes were made to resolve customers' problems.
- Refer unresolved customer grievances to designated departments for further investigation.
- Review Rx insurance policy terms to determine whether a claim is covered for employer group.
- Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.
- Resolve customers' service or billing complaints.
- Obtain and examine all relevant information to assess validity of complaints and to determine possible causes.
- Abide by all obligations under HIPAA related to Protected Health Information (PHI).
- If a HIPAA violation is discovered, whether individually or by another, you must report the violation to the Compliance Officer and/or Human Resources.
- Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company.
- Flexibility to understand, appreciate and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
- Medical, Dental, Vision insurance
- Disability and Life insurance
- Employee Assistance Program
- Generous Paid-Time Off
- Annual Reviews and Development Plans
- Retirement Plan with company match immediately 100% vested
- Interacting with Computers — Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
- Communicating with Supervisors, Peers, or Subordinates — Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
- Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources.
- Communicating with Persons Outside Organization — Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.
- Processing Information — Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.
- Resolving Conflicts and Negotiating with Others — Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others.
- Updating and Using Relevant Knowledge — Keeping up-to-date technically and applying new knowledge to your job.
- Organizing, Planning, and Prioritizing Work — Developing specific goals and plans to prioritize, organize, and accomplish your work.
- Performing Administrative Activities — Performing day-to-day administrative tasks such as maintaining information files and processing paperwork.
- Making Decisions and Solving Problems — Analyzing information and evaluating results to choose the best solution and solve problems.
- Customer and Client Focus.
- Problem Solving and Analysis.
- Time Management.
- Communication Proficiency.
- Teamwork Orientation.
- Technical Capacity.
- Multitasking
- High School or equivalent
- Customer service experience
- Computer experience
-
TEMPORARY Guest Service Agent
2 weeks ago
Hilton Hotels & Resorts Mt. Pleasant, United StatesAs a Guest Services Agent, you would be responsible for greeting and registering guests and checking guests out of the hotel in the hotel's continuing effort to deliver outstanding guest service and financial profitability. Specifically, you would be Guest Service, Guest, Agent, ...
-
Guest Service Agent
2 weeks ago
Limited by Marriott Charleston Historic Charleston, United StatesJob Description · Job DescriptionJob Responsibilities · The Guest Service Agent is responsible for front desk responsibilities at the hotel. This involves attending to guest needs and following standard operating procedures within the Property Management System. Other responsibil ...
-
Customer Service Agent
5 days ago
Allstate Insurance Agency - Rhonda Myers Charleston, United StatesJob Description · Job DescriptionBenefits:Bonus based on performance · Competitive salary · Opportunity for advancement · Paid time off · Training & development · Job description · Our sales agents need help We are looking for an energetic and passionate person to join our agency ...
-
Customer Service Agent Part Time
15 hours ago
American Airlines Charleston, United States Part timeIntro · Are you ready to explore a world of possibilities, both at work and during your time off? Join our American Airlines family, and you'll travel the world, grow your expertise and become the best version of you. As you embark on a new journey, you'll tackle challenges with ...
-
guest services senior agent
2 weeks ago
Compass Group Mt Pleasant, United States Full timeGUEST SERVICES SENIOR AGENT (FULL TIME)Click Here to Apply OnlineJob Description Location: Central Michigan UniversityWe are hiring immediately for one GUEST SERVICES SENIOR AGENT position.Address: 103 East Preston, Mount Pleasant, MI 48858 Note: online applications accepted only ...
-
Guest Service Agent
6 days ago
Lowcountry Hotels North Charleston, United StatesJob Description · Job DescriptionHoliday Inn Express & Suites Charleston Airport Convention Center are seeking individuals to join an outstanding team. Potential Candidates must be a energetic, warm, upbeat, outgoing, and have the willingness to provide the best guest service. · ...
-
Guest Services Agent
2 days ago
Avocet Hospitality Group Folly Beach, United StatesJob Description · Job DescriptionDo you want to work at an island escape with 24/7 ocean views, and blissed-out beach vibes? Submit your application for our Guest Services Agent opening and find out what it truly means to be a part of the Tides Folly Beach team. · Compensation: $ ...
-
Customer Service Agent
1 day ago
Expeditors International Hanahan, United States**Customer Service Agent - Customs Brokerage** · 1017 Northpointe Industrial Rd, Hanahan, SC 29410, USA · Full-time · **Company Description** · Were not in the shipping business; were in the information business - Peter Rose, Expeditors Founder · Global supply chain manageme ...
-
Customer Service Agent
1 day ago
Expeditors Hanahan, United StatesCompany Description · "We're not in the shipping business; we're in the information business" -Peter Rose, Expeditors Founder · Global supply chain management is what we do, but at the heart of Expeditors you will find professionalism, leadership, and a friendly environment, al ...
-
Guest Services Agent
3 weeks ago
Avocet Hospitality Group Folly Beach, United StatesJob Description · Job DescriptionDo you want to work at an island escape with 24/7 ocean views, and blissed-out beach vibes? Submit your application for our Guest Services Agent opening and find out what it truly means to be a part of the Tides Folly Beach team. · Compensation: $ ...
-
Customer Service Agent
3 weeks ago
Expeditors Hanahan, United States"We're not in the shipping business; we're in the information business" -Peter Rose, Expeditors Founder · Global supply chain management is what we do, but at the heart of Expeditors you will find professionalism, leadership, and a friendly environment, all of which foster an inn ...
-
Massage Therapist
14 hours ago
Massage Envy Mount Pleasant, SC, United StatesOverview: · Where Better Careers Begin · Massage Envy Pleasant Located at 1948 Long Grove Drive Suite 4 in the beautiful Seaside Farms Neighborhood. · Are you looking to grow your career with a team that values, supports & empowers you? The difference you'll make in clients' live ...
-
Telemarketer - State Farm Agent Team Member
3 weeks ago
Allison Ditullio - State Farm Agent Mount Pleasant, United StatesJob Description · Job DescriptionPosition Overview · Successful State Farm Agent is seeking a qualified professional to join their winning team for the role of Telemarketer - State Farm Agent Team Member. We seek an energetic professional interested in helping our business grow t ...
-
Front Desk Agent
18 hours ago
Marriott Hotels & Resorts Mount Pleasant, United StatesResidence Inn by Marriott Charleston Mt. Pleasant is actively seeking a hands-on person that is willing to work together as a team to go above and beyond to take care of our guests. We are an extend stay property located in Mount Pleasant, SC just mi Front Desk, Agent, Customer S ...
-
High Net Worth Account Manager
2 weeks ago
Big I South Carolina Mt Pleasant, United StatesAre you PASSIONATE about helping others? Do you love to WOW people? Do you have a SENSE OF URGENCY? Are you a TEAM PLAYER? · Mappus is looking for a seasoned HNW account manager to jump right in and provide a white glove service to our growing book of HNW personal insurance clie ...
-
Enrollment Agent I
4 days ago
IDEMIA Mount Pleasant, South Carolina, United States PermanentOverview: · IDEMIA is the global leader in identity and security. Our mission is to create a safe and simple future where identity verification is indisputable, and only you can assert your identity. We are a distributed company leveraging the latest technologies to deliver world ...
-
Sales & Customer Service Associate
1 day ago
Massage Envy Mt Pleasant, United StatesOverview: · Where Better Careers Begin · Massage Envy Mount Pleasant- 1948 Long Grove Drive Suite 4 · Do you have a passion for helping others? At the Massage Envy Mount Pleasnat franchise, we support and inspire you to be your best while we work together to help clients feel ...
-
Real Estate Sales Agent
2 days ago
Matt O'Neill Real Estate Mount Pleasant, United StatesJob Description · Job DescriptionWith the NAR changes in July 2024, it's crucial to align with a company that excels in seller-focused opportunities. Matt O'Neill Real Estate invests heavily in seller lead generation, providing hundreds of leads weekly. Our inside sales team sets ...
-
Procurement Agent
4 days ago
Town of Mount Pleasant Mt Pleasant, United StatesJOB SUMMARY · The Procurement Agent is responsible for the development and monitoring of purchasing activities related to the design and construction of road projects and other construction projects for the Town. · ESSENTIAL JOB FUNCTIONS: Assists departments in developing and ...
-
Cafe Barista
2 weeks ago
Advocate Health Mt Pleasant, United StatesMajor Responsibilities:Greets all customers by providing quick, friendly and personal service. Delivers legendary customer service to all customers by acting with a customer comes first attitude and connecting with the customer. Discovers and responds to customer needs. · Sells ...
Member Services Agent - Mt Pleasant, SC, United States - Southern Scripts
Description
Member Services Agent
We wanted a PBM that worked better... so we created one.
Liviniti, the leading disruptor in the PBM industry, simplifies the complexities of navigating through the Pharmacy Benefit Manager world by offering a value-added approach to ensure the employer absolute freedom, control, and choice to their health plan structure without compromising patient experiences and outcomes. We improve healthcare and reduce rising prescription costs for employers and their employees. We are looking for individuals who are passionate, strong, and committed to developing systems and service solutions that promote our business goals and commitments.
Liviniti is searching for incredible talent We continue to experience accelerated growth in a rapidly changing industry. There's never been a better time to join our team.
We are currently seeking a Member Services Agent. This is a remote position.
Role and Responsibilities
The member services agent is responsible for providing effective customer service for all internal and external customers by using excellent, in-depth knowledge of company products and programs as well as communicating effectively with team members within the customer service department. This position is a customer service representative working in our call center.
What We Have to Offer
Our benefits package is designed to keep our employees happy and healthy – physically, mentally and financially.
Required Skills and Competencies
Position Type and Expected Hours of Work
This is a full-time, hourly position. Days and hours of work vary on shift assigned. The Contact Center hours of operation are Monday – Friday 6a – 10p CST, Saturday 6a – 8p CST, and Sunday 6a-8p CST.
Qualifications and Education Requirements
Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Southern Scripts complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Southern Scripts employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/V/D
PI13fc0e79db