Customer Service Representative I
WESTERN GROWERS GROUP —Irvine, CA
- $35,288.32 - $45,874.31 a year
- Full-time
- Remote
- Spanish
- Data analysis skills
- HIPAA
Quick Apply
Customer Service Representative I
WESTERN GROWERS ASSURANCE TRUST —Irvine, CA
- $35,288.33 - $45,874.31 a year
- Full-time
- Remote
- Spanish
- Data analysis skills
- HIPAA
Quick Apply
12d
Associate Customer Relations Representative
Applied Medical —Rancho Santa Margarita, CA
- $24 - $28 an hour
- Full-time
- Microsoft Outlook
- Office
- Bachelor's degree
- Paid holidays
- Health insurance
Warranty Administrator
Volvo Group —Corona, CA
- $30 - $34 an hour
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
Customer Service Representative (Hybrid)
NITTO TIRE USA CORP —Costa Mesa, CA
- $23 - $25 an hour
- Hybrid work
- Writing skills
- Research
- Mid-level
Human Resources and Payroll Coordinator
Orange Circle Studio —Irvine, CA
- $26 - $30 an hour
- Overtime
- Spanish
- Microsoft Excel
- OSHA
- Paid holidays
- Disability insurance
Quick Apply
Assistant Property Manager
A and M Properties —Orange County, CA
- $24 - $28 an hour
- Full-time
- Google Workspace
- Sales
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
12d
Project Manager II
Corovan —Fullerton, CA
- $26.50 - $29.53 an hour
- Overtime
- Microsoft Excel
- Bachelor of Science
- English
Quick Apply
Senior CNC Lathe Machinist
LISI Aerospace —Garden Grove, CA
- $30.11 - $37.09 an hour
- Full-time
- Background check
- Ability to walk for extended periods
- 5 years
- Health savings account
- Health insurance
Quick Apply
Installer II
Employers Leasing Company —Fullerton, CA
- $20.25 - $22.45 an hour
- Overtime
- Construction site
- English
- Mid-level
Quick Apply
Mover - Technician I
Employer's Leasing, a Corovan Corporation Affiliate —Fullerton, CA
- $21.95 an hour
- Overtime
- English
- Office
- Forklift
Quick Apply
PT Utilities Customer Services Representative I
City of Anaheim, CA —Anaheim, CA
- $27.77 - $35.14 an hour
- Part-time
- Background check
- Sales
- Computer literacy
- Retirement plan
14d
Senior Representative, Health Plan Provider Relations (Must Reside in CA)
Molina Healthcare, Inc. —Corona, CA
- $73,008 - $111,967 a year
- Full-time
- Medical office experience
- Contracts
- Senior level
- Health insurance
11d
Consumer Relations Representative (Temp Only)
Monster Energy —Corona, CA
- $17 - $23 an hour
- Temporary
- Bachelor's degree
- Business
- Communication skills
Quick Apply
Consumer Relations Representative - Temp
Monster Energy —Orange, CA
- $17 - $22 an hour
- Temporary
- Bachelor's degree
- Business
- Communication skills
Quick Apply
ADMINISTRATIVE COORDINATOR, PHILANTHROPY
United Way —Irvine, CA
- $27 - $32 an hour
- Email
- Microsoft Excel
- Microsoft Outlook
- Research
6d
HR Administration Team - Employee Relations & Compliance Specialist
GLOVIS America, Inc. —Irvine, CA
- $52,167 - $61,652 a year
- Full-time
- Writing skills
- Mid-level
- Office
- Wellness program
- AD&D insurance
Quick Apply
Patient Relations Representative
MARSHALL B KETCHUM UNIVERSITY —Anaheim, CA
- $19.50 an hour
- Full-time
- Spanish
- Computer literacy
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
Customer Service Representative
LEACH INTERNATIONAL CORPORATION —Buena Park, CA
- $25 - $33 an hour
- Full-time
- Microsoft Excel
- Microsoft Access
- Microsoft Outlook
Quick Apply
CareMore Patient Relations Representative-1
CareMore Health Management Services, LLC —Fullerton, CA
- $29.04 - $43.56 an hour
- Full-time
- Spanish
- Bachelor of Science
- Public speaking
Quick Apply
12d

I want to receive the latest job alert for customer relations representative in lake forest, ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

customer relations representative jobs near lake forest, ca

Customer Service Representative I

WESTERN GROWERS GROUP
Irvine, CA

Quick Apply

Job Details

Full-time
$35,288.32 - $45,874.31 a year

Qualifications

English
Research
Negotiation

Full Job Description

Job Description Summary

Under the direction of the Supervisor, Customer Service, this position is responsible for meeting KPIs while responding to general customer inquiries regarding insurance benefits, provider contracts, reimbursement programs, eligibility, and claims from members, providers and employers in a confidential, professional, and ethical manner. The incumbent will also research and analyze data to address standard operational challenges and issues within the Customer Service department.

Duties And Responsibilities

Customer Advocate

Respond to general customer questions via telephone, e-mail, and written correspondence regarding insurance benefits, provider contracts, reimbursement programs, eligibility, and claims in a confidential, professional, and ethical manner.
Analyze problems and provide information/solutions.
Research and resolve aged Customer Service open calls within company standards.
Operate in the Health Care Processing System (HCPS), Imaging systems, and all systems necessary to obtain and extract information with proficiency and skills.
Develop and maintain positive customer relations and coordinate with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
Be accountable when you uncover an issue or trend by helping to assess and report its impact, making improvements, and course-correcting along the way.
Follow quality guidelines to provide exceptional customer support and ensure scores meet or exceed expectations.

Call Center Support

Accurately document database activity and customer interaction for tracking and analysis to identify trends and address operational and service issues.
Research and analyze data to address standard operational challenges and customer service issues.
Provide customers with requested information, including difficult and upset customers.
Meet or exceed all department and performance service metrics.
Communicate with the appropriate departments and identify service issues.
Identify inefficiencies within the established processes and suggest possible solutions to save time, reduce risk, and/or reduce expenses.

Other

Maintain regular attendance per employee handbook guidelines.
Utilize all capabilities to satisfy one mission — to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating a positive impact, and being diligent in delivering results.
Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet.
Maintain a HIPAA-compliant workstation and utilize appropriate security techniques to ensure HIPAA-required protection of all confidential/protected client data.
Maintain and service safety equipment (e.g., smoke detector, fire extinguisher, first aid kit).
All other duties as assigned.

Physical demands/Work Environment

The physical demands and work environment described here represent those that an employee must meet to successfully perform this job’s essential functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate.

Qualifications

High School diploma or GED and/or one (1) to three (3) years of experience in customer service within a call center environment, preferred.
Knowledge of Health Benefits and eligibility preferred.
Good communication and telephone skills with a very clear and concise speaking voice.
Proficient written communication skills with the ability to learn new software and navigate multiple systems at once.
Moderate keyboarding skills including proficiency with database management.
Proficient organizational and time management skills.
Adaptive in constantly changing environment.
Skilled in researching and resolving standard technical issues or client problems as they arise.
Good judgement, negotiation abilities and capacity to work with minimal supervision.
Capable to learn and understand company’s end-user software programs.
Ability to meet or exceed departmental service metrics.
Fluent in English (oral and written) required. Bilingual in Spanish preferred.
Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.
Home router with wired Ethernet (wireless connections and hotspots are not permitted).
A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)
A functioning smoke detector, fire extinguisher, and first aid kit on site.

Quick Apply

Refine Your Search

customer relations representative jobs in lake forest, ca

Customer Service Representative I

Customer Service Representative I

Associate Customer Relations Representative

Warranty Administrator

Customer Service Representative (Hybrid)

Human Resources and Payroll Coordinator

Assistant Property Manager

Project Manager II

Senior CNC Lathe Machinist

Installer II

Mover - Technician I

PT Utilities Customer Services Representative I

Senior Representative, Health Plan Provider Relations (Must Reside in CA)

Consumer Relations Representative (Temp Only)

Consumer Relations Representative - Temp

ADMINISTRATIVE COORDINATOR, PHILANTHROPY

HR Administration Team - Employee Relations & Compliance Specialist

Patient Relations Representative

Customer Service Representative

CareMore Patient Relations Representative-1

I want to receive the latest job alert for customer relations representative in lake forest, ca

Related Searches

Explore jobs in more locations

Job Description Summary

Duties And Responsibilities

Qualifications

Job Seeker Tools

Employer Tools

Browse

Stay Connected