Job Description

Job Description

Job Description

Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the
caller needs such as eligibility, benefits, providers and claims
• Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to include
managing their health and well-being
• Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow-up with
the member
• Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner
with others to resolve escalated issues.

Required Qualifications:
• 1+ years of customer service experience analyzing and solving customer problems OR 1+ years of experience in an office
setting environment using the telephone and computer as the primary instruments to perform job duties
• Demonstrated familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and
complex computer system applications
• Ability to work 40 hours / week during standard business operating hours Monday - Friday from 7:00am - 11:00pm. It may be
necessary, given the business need, to work occasional overtime, weekends or during high season (October to January)
• Bilingual Spanish/English proficiency
• Provide education and status on previously submitted pre-authorizations or pre-determination requests
• Meet the performance goals established for the position in the areas of: service levels, call quality, customer satisfaction and
attendance (among others)
• Other duties or project may apply

EEO/AA Employer/Vet/Disabled.

The Know Your Rights poster is available here:
-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
- transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
verify.uscis.gov/web/media/resourcesContents/E - Verify_Participation_Poster_ES.pdf

We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

#2233

Company Description

Founder and CEO, Janice Bryant Howroyd, is a North Carolina native who left her hometown in 1976 armed with $1500. Since then, she has dedicated her efforts to building an organization that is committed to keeping the humanity in Human Resources and Strategic, Inclusive Procurement.

Mrs. Howroyd’s commitment to excellence has grown ActOne Group to 33 countries, with over 17,000 clients and more than 2,800 employees. The largest woman-minority-owned workforce management company founded in the US, ActOne Group professionals bring expertise in delivering corporate HR initiatives to local and global markets.

Mrs. Howroyd was selected by former President Barack Obama to serve as a White House appointee and continues to serve under the current administration as an Ambassador of Energy. Mrs. Howroyd gives generously through funding and advocacy for STEM education, particularly for women and minorities.

Mrs. Howroyd leads her teams to build business success based on the ability to connect great companies with outstanding talent. Her passion for education, mentorship, and self-empowerment initiatives have earned her many professional and philanthropic recognitions. She is a sought–after speaker and media subject matter expert in her fields. Her book, The Art of Work: How to Make Work, Work for You, is available on Amazon.com.

Job Tags

Temporary work, Local area, Monday to Friday,

Similar Jobs