Duties / Responsibilities:
Provide assistance to consumers seeking health care coverage by providing information
Process applications for health care coverage via the telephone including building tax household, household income, eligibility determinations, and interpreting of determinations.
Processing of life events and special enrollment periods.
Assist in explaining plan enrollment options including but not limited to covered services, participating providers, and cost.
Provides information and direction to callers regarding web-based, mail-in and telephone application/renewals, and other programs as applicable.
Responds to all inquiries consistent with confidentiality and privacy policies and refers callers to alternate sources when appropriate.
Accesses, reads, and interprets data elements on all applicable Company and state systems to provide support, resolve inquires, and educate callers.
Escalate calls or issues to the appropriate designated staff for resolution as needed.
Enters appropriate data and information into the applicable systems to process applications and/or update caller information, confirm the accuracy of the customer information and uses every call as an opportunity to provide education and support.
Performs other duties as assigned by management.
Education Required: High School Diploma or GED.
Background & Experience Required: Preferable experience in a Call Center, human services, health care or service-related field.