Top 102287 Jobs in Carson, CA

Member Service Representative
Champion Health Plan/ Champion Payer Solutions —Long Beach, CA
- From $22 an hour
- Weekends as needed
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Sales & Operations Associate
Okaya USA —Torrance, CA
- $55,000 - $75,000 a year
- Full-time
- Background check
- Microsoft Outlook
- ERP systems
- Health insurance
- Dental insurance
Quick Apply
TikTok Live Recruitment Streamer
WOL International Inc. —Cerritos, CA
- $35 - $60 an hour
- Part-time
- English
- Mid-level
- Office
- Flexible schedule
Quick Apply
Infant Development Providers - IN-HOME
WORDS & MOTION SPEECH THERAPY GROUP —Compton, CA
- $29 - $33 an hour
- Part-time
- Background check
- Bachelor's degree
- In-person
- Travel reimbursement
- Health insurance
Quick Apply
Financial Aid Assistant
Career Academy of Beauty —Garden Grove, CA
- $26 - $28 an hour
- Part-time
- Background check
- Office
- High school diploma or GED
- Paid time off
- Retirement plan
Quick Apply
Sales Professional
Moon Valley Nurseries —Torrance, CA
- $70,304 - $350,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Criminal background check
- Health insurance
- Dental insurance
Quick Apply
Operations Assistant
Dream Home Care, Inc. —Torrance, CA
- $23 - $26 an hour
- Full-time
- Writing skills
- Sanitation
- Research
- Health insurance
- Dental insurance
Quick Apply
12d
Client Service Associate
Tang and Company —Torrance, CA
- $18 an hour
- Full-time
- Organizational skills
- Communication skills
- Entry level
Quick Apply
Membership Specialist
Career Group, Inc —Torrance, CA
- $25 - $27 an hour
- Temporary
- 5 years
- Mid-level
- Office
- Gym membership
Quick Apply
Customer Service Representative 1 (Aerospace Industry)
LISI —Torrance, CA
- $20 - $26 an hour
- Full-time
- Microsoft Access
- Microsoft Outlook
- Ability to walk for extended periods
- Health savings account
- Health insurance
Quick Apply
14d
Assembler Operator
Teledyne —Hawthorne, CA
- $20 - $28 an hour
- Full-time
- Background check
- Pass drug screening
- High school diploma or GED
13d
Rental Coordinator Redondo Beach, CA
BearCom —Redondo Beach, CA
- $22.86 - $27.00 an hour
- Ability to lift 50 pounds
- Leadership
- Communication skills
- Paid holidays
- Disability insurance
Quick Apply
Store Associate - Carson (00416)
In-N-Out —Carson, CA
- $22 an hour
- Part-time
- No experience needed
- Quick service & fast food restaurant
- Computer skills
- Profit sharing
- Health insurance
Team Member
Quick Quack Car Wash —Carson, CA
- $20.40 an hour
- Part-time
- High school diploma or GED
- Ability to lift 50 pounds
- US work authorization
Quick Apply
Club Attendant
24 Hour Fitness USA, LLC —Carson, CA
- $18.03 an hour
- Customer service
- Writing skills
- High school diploma or GED
Quick Apply
SALAD DEPARTMENT
Self Love LLC —Harbor City, CA
- Weekends as needed
- Basic math
- Ability to lift 50 pounds
- Food service experience
Quick Apply
Team Member
LOOMA Space —Lomita, CA
- $18 - $25 an hour
- Part-time
- Inventory management
- Cash handling
- Café
- Paid training
- On-the-job training
Quick Apply
Empleado De Empaque
Bristol Farms —Carson, CA
- $18 - $21 an hour
- Full-time
Quick Apply
Part-Time Retail - Torrance
Penzeys Spices —Torrance, CA
- From $17.90 an hour
- Part-time
- In-person
- Entry level
- Employee discount
- Flexible schedule
Quick Apply
Full-Time Center Associate (The UPS Store #5824)
The UPS Store #5824 —Carson, CA
- $18 an hour
- Full-time
- High school diploma or GED
- Math
- Communication skills
Quick Apply

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Member Service Representative

Champion Health Plan/ Champion Payer Solutions
Long Beach, CA

Quick Apply

Job Details

Full-time
From $22 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Flexible schedule

Qualifications

Spanish
Customer communication
Teamwork
Customer retention
Managed care
Managed care organization experience
Call center experience
HIPAA
English
Vietnamese
High school diploma or GED
Medical terminology

Full Job Description

SCOPE OF ROLE

The Member Service Representative (MSR) serves as the first point of contact for customers, providers, and advocates, ensuring exceptional customer experiences through accurate and helpful communication. This role involves handling incoming calls from Medicare Advantage members, assisting with benefit inquiries, referrals, claims, and guiding them to community resources as needed. The ideal candidate will be bilingual, proficient in medical terminology, and knowledgeable in CMS, Medicare, and HIPAA regulations. Strong proficiency in Microsoft Applications and a commitment to delivering top-tier service are essential.

ROLE RESPONSIBILITIES

The Member Service Representative job description is intended to point out major responsibilities within the role, but it is not limited to these functions:

KEY RESPONSIBILITIES % OF TIME

 Serve as the primary point of contact for customers, providers, and advocates, handling calls with professionalism and courtesy.

 Provide clear, concise, and accurate information to ensure customers fully understand their benefits, referrals, claims, and available resources.

 Ensure prompt and efficient service by answering all incoming calls within the

department’s established time frame.

 Escalate complex issues to management or relevant departments as necessary to

ensure customer concerns are thoroughly addressed.

 Collaborate with internal teams to resolve problems and enhance overall customer

satisfaction.

 Accurately document customer interactions, including actions taken, resolutions

provided, and any follow-up required.

 Adhere to department policies and HIPAA regulations to maintain confidentiality and

security of member information.

 Manage complaints, grievances, and appeals efficiently according to department

protocols.

 Assist in onboarding and training new staff, sharing knowledge and best practices.

 Complete required training promptly to stay current with procedures, systems, and

regulations.

 Consistently meet or exceed standards for quality, productivity, and adherence to

schedules.

 Participate in outbound call campaigns for welcome calls, enrollment verification calls, appointment scheduling,

retention efforts, and other health-related programs.

 Contribute to policy and procedure development related to customer experience.

 Stay updated on CMS, Medicare, and HIPAA regulations to ensure compliance and

provide accurate information.

 Utilize medical terminology and healthcare knowledge to assist members with inquiries.

 Adapt to changes in shifts, responsibilities, and operational needs as required.

 Facilitate member requests for provider changes, transportation, and other assistance.

 Maintain a positive attitude and practice excellent customer service principles.

 Perform other duties as assigned to contribute to the team and department’s success

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

 High School diploma or GED required.

 Associate degree (AA) degree (preferred).

 Minimum (2) or more years of direct customer service EXPERIENCE

 Knowledge of Medi-Cal, Medicare Managed Care Plans.

 Medical front office experience preferred.

PROFESSIONAL COMPETENCIES

 Strong communication skills (verbal and written).

 Highly organized with the ability to prioritize work to meet deadlines.

 Strong adaptability and openness to change.

 Knowledge of HIPAA regulations with a commitment to data privacy.

 Strategic skills in problem-solving, critical thinking, and innovation.

 Ability to collaborate effectively with business partners throughout the organization.

 Experience assisting members with Medicare Advantage or HMO, including referrals and authorizations.

 Outbound/inbound call center experience with a focus on problem-solving and escalation.

 Bilingual in English/Spanish or Vietnamese/English required.

 Proficiency in Microsoft Applications (Word, Excel, Outlook).

 Ability to multitask and prioritize tasks effectively.

 Flexibility to work varying shifts, including evenings and weekends.

LICENSURES AND CERTIFICATIONS

No licensures or certifications are required.

WORK ENVIRONMENT and ESSENTIAL PHYSICAL FUNCITONS:

Work Environment:

 Must be available for scheduling 7 days a week, including evenings, overnights, weekends, and holidays.

 Shifts may change based on operational needs; flexibility is essential.

Essential Physical Functions:

 Ability to work onsite in an open office setting, primarily sitting at a desk and working on a computer.

 Regularly required to talk, hear, stand, walk, sit, and use hands to handle or feel objects and controls.

 Frequently lifts/moves up to 10 pounds. Specific vision abilities include close vision and the ability to adjust focus.

EEO/AFFIRMATIVE ACTION STATEMENT

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse group of employees committed to meeting the needs of Champion Payer Solutions/ Champion Health Plan, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Job Type: Full-time

Pay: From $22.00 per hour

Benefits:

401(k)
Dental insurance
Flexible schedule
Health insurance
Paid time off
Vision insurance

Experience:

Managed care: 2 years (Required)

Language:

Spanish (Preferred)
Vietnamese (Preferred)

Ability to Commute:

Long Beach, CA 90815 (Required)

Ability to Relocate:

Long Beach, CA 90815: Relocate before starting work (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

jobs in Carson, CA

Member Service Representative

Sales & Operations Associate

TikTok Live Recruitment Streamer

Infant Development Providers - IN-HOME

Financial Aid Assistant

Sales Professional

Operations Assistant

Client Service Associate

Membership Specialist

Customer Service Representative 1 (Aerospace Industry)

Assembler Operator

Rental Coordinator Redondo Beach, CA

Store Associate - Carson (00416)

Team Member

Club Attendant

SALAD DEPARTMENT

Team Member

Empleado De Empaque

Part-Time Retail - Torrance

Full-Time Center Associate (The UPS Store #5824)

I want to receive the latest job alert for jobs in Carson, CA

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