Customer Service Representative II

Profile

u003cpu003eu003cstrongu003eWho We Areu003c/strongu003eu003c/pu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eWPS Health Solutionsu003c/au003e is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small to large businesses. We process claims and provide customer service support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. In 2021, WPS Health Solutions celebrates u003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003e75 yearsu003c/au003e of making health insurance easier for those we serve.u0026nbsp; Proud to be military and veteran ready.u0026nbsp;u003c/pu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu003cstrongu003eOur Cultureu003c/strongu003eu003c/pu003enu003cpu003eWPSu0026rsquo; Performance-Based Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive, empowering employee experience, focusing on People, Work, and Conditions. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are guided by our Purpose: Together, making health care easier for the people we serve.u0026nbsp;u003c/pu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eIn 2021, WPS Health Solutions was recognized for several awards including:u003c/pu003enu003culu003enu003cliu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eMadison, Wisconsinu0026rsquo;s Top Workplaces u003c/au003eu003c/liu003enu003cliu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eTop Workplace national cultural excellence awards for Remote Work and Work-Life Flexibilityu003c/au003eu003c/liu003enu003cliu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eAchievers 50 Most Engaged Workplacesu0026reg; with the further honor of Achievers u0026ldquo;Elite 8u0026rdquo; winner in the category of Culture Alignment u003c/au003eu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eu0026nbsp;u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eRole Snapshot u003c/strongu003eu003c/pu003enu003cpu003eAnswer inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems.u003c/pu003enu003cpu003eu003cemu003eu0026nbsp;u003c/emu003eu003c/pu003enu003culu003enu003cliu003eReceive telephone, written, fax, and e-mail inquiries concerning TRICARE eligibility, benefits determinations, and claims adjudication questions or billing problems.u003c/liu003enu003cliu003eSubmit claims for adjudication, correction, payment, or review as appropriateu003c/liu003enu003cliu003eResearch and provide final resolution to inquiries within contractual requirements.u003c/liu003enu003cliu003eRespond to inquirer using various forms of communication (written letter, telephone, web, or email) within time frames to exceed contractual standardsu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eu0026nbsp;u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eHow do I know this opportunity is right for me?u0026nbsp; If you:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eEnjoy conversing with customers over the phoneu003c/liu003enu003cliu003eHave the ability to learn medical and insurance terminologyu003c/liu003enu003cliu003eThrive in a fast paced work environmentu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eu0026nbsp;u003c/strongu003eu003c/pu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu003cstrongu003eWhat will I gain from this role?u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eGaining experience working in a call center environmentu003c/liu003enu003c/ulu003enu003culu003enu003cliu003eWorking in an environment that serves our Nationu0026rsquo;s military, veterans, Guard and Reserves along with their families.u003c/liu003enu003c/ulu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu003cstrongu003eMinimum Qualifications u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eCOVID-19 vaccination or WPS approval for an accommodation.u003c/liu003enu003cliu003eS. citizenship is required for this position due to Department of Defense restrictions.u003c/liu003enu003cliu003eHigh School Diploma or Equivalentu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eu0026nbsp;u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003ePreferred Qualificationsu003c/strongu003eu003c/pu003enu003culu003enu003cliu003eAbility to learn medical and insurance terminologyu003c/liu003enu003cliu003eMicrosoft Office Experienceu003c/liu003enu003cliu003eAbility to navigate dual monitor screensu003c/liu003enu003cliu003eRecent Military and Veterans Health claims processing with knowledge of TRICARE benefits and guidelines, system applications, medical terminology, and procedure codesu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eAdditional Informationu003c/strongu003eu003c/pu003enu003culu003enu003cliu003eu003cstrongu003eStart Dates: Monday, January 10u003csupu003ethu003c/supu003e, 2022 and Monday, January 17u003csupu003ethu003c/supu003e, 2022u003c/strongu003eu003c/liu003enu003cliu003eu003cstrongu003eTraining Schedule: First 5 weeks Monday-Friday 8:00am-4:35pm CSTu003c/strongu003eu003c/liu003enu003cliu003eu003cstrongu003eScheduled Shift: u003c/strongu003eShift Starting between 7:00am-9:30am CST Monday-Fridayu003c/liu003enu003cliu003eu003cstrongu003eWork from Home: u003c/strongu003eThis is a 100% remote opportunity for all approved remote worker states. This is a non-exempt, non-bargaining unit positionu003c/liu003enu003c/ulu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu003cstrongu003eNext stepsu003c/strongu003eu003c/pu003enu003cpu003eAfter submitting your application, we will send you an online assessment. We recommend you try and complete it within two business days. You must complete and obtain a passing score on the assessment to be considered for the position.u003c/pu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu003cstrongu003eBenefitsu003c/strongu003eu003c/pu003enu003culu003enu003cliu003eRemote and hybrid work options availableu003c/liu003enu003cliu003ePerformance bonus and/or merit increase opportunitiesu003c/liu003enu003cliu003e401(k) with u003cstrongu003edollar-per-dollar match up to 6% of salary u003c/strongu003e(100% vested immediately)u003c/liu003enu003cliu003eCompetitive paid time offu003c/liu003enu003cliu003eHealth, dental insurance, Teladoc starts u003cstrongu003eDAY 1u003c/strongu003eu003c/liu003enu003cliu003eReview additional benefits u003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003ehereu003c/au003eu003c/liu003enu003c/ulu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eu003cstrongu003eSign up for u003c/strongu003eu003cstrongu003eJob Alertsu003c/strongu003eu003c/au003eu003c/pu003enu003cpu003eu003cstrongu003eFOLLOW US!u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eLinkedInu003c/au003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eFacebooku003c/au003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eTwitteru003c/au003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu0026nbsp;u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu0026nbsp;u003c/strongu003eu003c/pu003e,EqualOpportunityEmployerDescription:Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities,PayTransparencyPolicyStatement:The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c),MatchScore:1.0,HasApplied:false,ApplicationJobBoardName:null,ApplicationJobBoardId:null,DateApplied:null,Salaried:false,CompensationAmount:null,PublishingStatus:1,Links:[],BehaviorCriteria:[],MotivationCriteria:[],EducationCriteria:[],LicenseAndCertificationCriteria:[],SkillCriteria:[],WorkExperienceCriteria:[],JobBoardMemberships:[{JobBoardId:cdefa8ae-f907-5c13-2775-f0106d0aa34a,PublishedInternal:true,PublishedExternal:false,ExternalPostedDate:null,InternalPostedDate:2021-11-22T16:13:35.453Z},{JobBoardId:e6da0c90-f987-63dc-99a9-fb8c9014f57e,PublishedInternal:false,PublishedExternal:true,ExternalPostedDate:2021-11-22T16:13:35.453Z,InternalPostedDate:null}],AssessmentUri:null,AssessmentStatus:null,OpportunityIsClosed:false,TravelRequired:null,TravelDescription:null,SupervisorName:null,Assessments:[],ApplicationId:null,CompensationAnnualMinimum:null,CompensationAnnualMaximum:null,CompensationHourlyMinimum:null,CompensationHourlyMaximum:null,CompensationCurrency:null});

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