Customer Care Jobs in Landover, MD

The CSM manages the team responsible for handling these contacts, ensures all provider communications are addressed accurately and within contractually required response timeframes, and escalates unresolved or sensitive issues to the Project Manager.

20% Uses knowledge of products or services by collecting and the contractual provisions that govern administration to provide customer information service and analyzing education, to interpret contractual language to the customer needs for the purpose of providing benefit utilization and limitations, to determine the need for managed care initiatives, and to administer all types of services to customers within the business segment through telephonic inquiries, written and/or electronic inquiries and claims adjustments, if applicable. 35% Provides first- level problem resolution to member, provider and broker inquiries via telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as liability, validate customer understanding of information and resolves issues based on applicable policies and procedures.

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Require excellent verbal and written communication, professional telephone manner, interviewing and interpersonal skills to interact with patients, families, members of the health care team and external agencies. Compliance, Policy, and Procedure • Coordinate appointments for patients needing multiple types of healthcare services.

Continually assessing the status and up-to-date nature of Knowledge-Based Articles (KBA's) via direct customer interactions or independent observation and research (such as trending and emerging topics within the County, changes to the beginning and end dates of programs/services, conflicting information amongst publications) and proactively communicating needs and potential liabilities to management. This Position is ONLY Open to Montgomery County Government Employees: Current Montgomery County Government employees; Montgomery County employees who were affected by a reduction-in-force and currently have RIF priority rights; Active Montgomery County local fire and rescue department volunteers with at least 50 points under the length of service award program (LOSAP); or.

The Customer Service Supervisor oversees a team of Customer Service Representatives (CSR) that provide front-line support for the Veterans Experience Office's White House VA Hotline contact center. In this role, you will provide coaching and leadership, answer escalated inquiries, refer customers directly to other VA hotlines, and perform intake for the VA's complaint management program.