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ADAPTED_NOW

Call Center Representative

Must establish an appropriate work environment within their home for work purposes; CMR provides the necessary computer equipment. Accept inbound calls from engineers, technicians and other field operators reporting FNOL.

ACTIVE

Please note: We are unable to consider candidates residing outside of the United States. In addition, applicants residing in the following states are ...On a Typical Day, You’ll	Accept inbound calls from engineers, technicians and other field operators reporting FNOL	Communicate effectively while entering data accurately into a customized database	Report underground damage to locate companies when applicable	Provide outstanding service to customer representatives	Analyze photos and map the correct locationStuff You Should Know	You may be assigned to work on special projects	The department functions 24/7/365, with multiple schedules to choose from!	This position is fully remoteRequired Skills & Abilities	Can read, write and speak in both English and Spanish 	Ability to type a minimum of 55 wpm, error free; a typing test will be required	Fully competent with Microsoft Excel, Word, Outlook, PDF’s and internet searches	Active listening skills	Excellent written communication skills	Must be able to analyze and interpret photos to determine damage	Must establish an appropriate work environment within their home for work purposes; CMR provides the necessary computer equipmentExperience	6 months to 1-year previous customer service call center experience required	Experience with Microsoft Teams a plus	High School Diploma or equivalentOkay, But What Are the Perks	PTO (Paid Time Off) is accrued at a rate of 5 hours per pay period, equal to 3 weeks your first full year	CMR pays $50/month towards your internet service cost	CMR is a 4-year running winner of The Oklahoman Top Workplaces!

Claims Management Resources Inc

Bilingual Call Center Customer Service Rep - FNOL Work From Home

Customer Services Representative

After 10 weeks of training, you will utilize multiple Windows-based programs and other internal applications to: + Take ownership in resolving escalated customer concerns, including capturing all the facts surrounding complaints, following the outlined steps to resolve issues, data management, and responding to all letters of inquiry. . USA, Rapid City, SDUSA, Austin, TX, USA, Columbia, SC, USA, Columbus, OH, USA, Jackson, MS, USA, Louisville, KY, USA, Nashville, TN, USA, Oklahoma City, OK, USA, Salt Lake City, UT, USA, Sioux Falls, SD.

Salary

At GE Appliances, a Haier company, we come together to make “good things, for life.” As the fastest-growing appliance company in the U.S., we’re powered by creators, thinkers and makers who believe that anything is possible and that there’s always a better way. We believe in the power of our people and in giving them the freedom to explore, discover and build good things, together. The GE Appliances philosophy, backed by three simple commitments defines the way we work, invent, create, do business, and serve our communities: _we come together_ , _we always look for a better way_ , and _we create possibilities_ . Interested in joining us on our journey? Since 1990, Advanced Services Inc. (ASI) has been providing excellent customer service to GE Appliances consumers by resolving their questions or concerns about GE Appliances. During that time, we have developed a culture of celebrating and rewarding our employees! We are leaders in positioning talent for exciting career paths and promotional opportunities. At ASI, our mission is to create happiness and well-being in every home. Opportunities are available for candidates residing within these states: Utah, South Dakota, Texas, Oklahoma, Tennessee, Mississippi, Kentucky, Ohio and South Carolina.  Benefits & Perks:  Paid on-the-job training and mentoring Work-from-home opportunities (equipment provided) No weekend shifts Paid time off Medical, dental, vision, and prescription benefits eligibility on day 1 of employment  401(k) program with a company match Short-term and long-term disability Life insurance Appliance discount program Tuition reimbursement Gym membership reimbursement Career growth opportunities  Position Bilingual Spanish Inbound Customer Service Agent - Consumer Relations (Remote) Location USA, Rapid City, SDUSA, Austin, TX, USA, Columbia, SC, USA, Columbus, OH, USA, Jackson, MS, USA, Louisville, KY, USA, Nashville, TN, USA, Oklahoma City, OK, USA, Salt Lake City, UT, USA, Sioux Falls, SD How You'll Create Possibilities As a  BilingualRemote Consumer Advocate  with ASI/GE Appliances, you will resolve escalated customer service issues (in English and Spanish) . In your role you will create an outstanding quality service experience for the GE Appliance consumer, advocating with multiple internal departments on their behalf for reasonable and satisfactory resolutions. This position is an excellent opportunity for those wanting to positively impact the owner's experience and wish to start an exciting career!  + We offer a base rate of $17.85/hour+ incentives based on your quality scores - paid weekly. + Training requires a 10-week full-time shift Monday-Friday 8:30 AM- 5:00 PM (CST). + After training, you can expect to work an 8-hour shift between the business hours of 7:00 AM to 6:00 PM (CST), Monday through Friday.  After 10 weeks of training, you will utilize multiple Windows-based programs and other internal applications to: + Take ownership in resolving escalated customer concerns, including capturing all the facts surrounding complaints, following the outlined steps to resolve issues, data management, and responding to all letters of inquiry.  + Follow up with customers using phone, email, or text to resolve appliance-related concerns, and close out cases with successful actions.  + Find creative solutions that are in the best interest of the customers and GE Appliances when negotiating and implementing concessions.          + Interact and coordinate with all necessary stakeholders to successfully resolve consumer issues, i.e., zones, dispatchers, technicians, etc.  + Gather information from various resources and surface concerns with suggested resolutions to the Team Leader or Team Manager.  + Complete consumer reviews for satisfaction before case closure. + Meet work schedule demands and obligations with compliance, integrity, and according to values, processes and polic What You'll Bring to Our Team Position Requirements + Ability to communicate effectively and proficiently using both English and Spanish language in written and verbal form + High School Diploma or GED + Minimum of 1-year Call-Center experience + Minimum of 2-years Escalated Customer Service experience + Ability to communicate effectively in English is a requirement + Excellent written & verbal skills + Moderate to advanced computer skills; navigating multiple online applications  + Exceptional organizational skills; ability to effectively multi-task + Ability to handle high-volume calls while simultaneously handling multiple online applications + Previous experience working from home (preferred) Soft Skills  + Passion for helping customers and problem-solving + Flexible with the ability to take direction from management yet work independently to achieve goals + Active listening skills and the ability to ask questions  + Conflict resolution skills; negotiation skills; and time management skills + Flexibility, being the ability to adapt to change. Critical thinking skills  + Desire to work in a team environment towards common goals + Ability to remain calm and show empathy while handling challenging customer concerns  Requirements for Remote Work Environment + Remote work opportunities subject to business needs. Otherwise, a normal office environment with lighting and climate-controlled temperatures. + A local internet provider and an ethernet connection: no Satellite, Pre-paid, or DSL internet connections allowed due to security issues + Internet Speed Requirements:  + Ping 50 Mbps or lower + Download 50 Mbps or higher + Upload 15 Mbps or higher Our Culture Our work is centered on our People and Culture as reflected in our Zero Distance philosophy and we recognize the importance of reaffirming our commitment to inclusion and diversity (I&D). This underscores our commitment to fostering an environment where every individual feels valued, connected, and empowered to contribute, while positioning our organization to adapt seamlessly to the evolving needs of our workforce and communities. This reflects our dedication to creating solutions that: Empower colleagues by fostering an environment where all voices are heard, valued, and encouraged to contribute. Strengthen communities where we live and work. Reinforce a culture of belonging, purpose, and engagement. Reflect the diversity of the communities we serve through our workforce, products, and practices. By further embedding Zero Distance into our People and Culture framework, we will continue to build a deeply connected organization. We are cultivating a culture of engagement, belonging, and connection, because while attracting new talent remains a priority, retention is a cornerstone of our strategy. GE Appliances is a trust-based organization. It is important we offer our employees the flexibility they need to do their best work while balancing the needs of the business and individuals. When you join GE Appliances, you will have the opportunity to work with your leader to create a flexible work arrangement that balances the needs of the individual, team, and organization. GE Appliances is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. GE Appliances participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S _If you are an individual with a disability and need assistance or an accommodation to use our website or to apply, please send an e-mail_ _to ask.recruiting@geappliances.com_

GE Appliances, a Haier company

Bilingual Spanish Inbound Customer Service Agent - Consumer Relations (Remote)

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Representative

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: · At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Note : Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed.

Become a part of our caring community and help us put health first Do you enjoy helping those in need? Do you love researching, analyzing medical documents to determine if something was missed? Have you ever considered yourself a detective for medical claims / member benefits? Well, if you answered yes to any of the above you may be a great fit for Humana’s Grievances & Appeals Representative 3 role! What we need your help with: + Managing client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. + Perform advanced administrative and/or customer support duties that require independent initiative and judgment. + From time to time apply intermediate mathematical skills and regularly exercise discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes, and techniques. + Work under limited guidance at the comfort of your home due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge. Use your skills to make an impact Required Qualifications + 2+ years working with customers in a fast-paced, deadline-oriented environment + Experience with the ability to prioritize and manage inventory and workflow + Customer focused, analytical and decision-making skills — works well under minimal supervision and takes initiative + Strong technical skills with the ability to work across multiple software systems and comfortable work remote out of your home + High level of emotional intelligence with a proven ability to influence office culture and engagement in a positive manner Required Work Schedule: Training/Nesting : Virtual training runs for 7-8 weeks with a schedule of 8:00am–4:30pm EST, Monday–Friday. Please note that training is a critical stage of associate development. Attendance is vital for your success, so no time off, other than observed holidays, is allowed during training. New Hire Training requires you to be appropriately dressed,on time and on cameravia the facilitated Zoom classroom instruction for attendance. After Training and Nesting you will be assigned to another supervisor and Team Lead within the department Work Hours: Your shift will coincide with the department business hours of 8:00am-4:30pm EST,Monday–Friday. PTO is not available in the first 120 days of employment. You will accrue PTO and can use it after the first 120 days. Mandatory Overtime and business need for inventory, may include weekend days and holidays. Hours are subject to change based on business needs but are always communicated ahead of the need. Grievances and Appeals (G&A) has an impact to our business and because of the complexities of our work, there is an 18-month commitment to this department.G&A will not allow transitions outside of area prior to the end of the 18 months. Preferred Qualifications Associate’s or Bachelor’s Degree Prior experience interpretingMember Benefits and Medical Claims + Previous appeals experience Humana’s operating systems: MHK (MedHok), CCP/GCP/CAS, CI, CGX Medicare experience Experience with CMS Guidelines and remaining compliant Bilingual (English and Spanish); with the ability to read, write, and speak English and Spanish. Additional Information Work at Home Guidance To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: · At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. · Satellite, cellular and microwave connection can be used only if approved by leadership. · Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. · Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. · Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Interview Process As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. · Text Prescreen : Shortly after submitting your application, you may receive both a text message and email requesting you to complete 10 to 15 prescreen questions with either yes or no answers. The text message may arrive prior to the email. If you prefer to answer via computer or tablet, wait for the email. · Video Prescreen : If you are successful with your text screen, you will receive another communication to record a Video Prescreen. This is an online video activity using your phone, tablet, or computer; however, most candidates prefer using a computer or tablet. · Interviews : Some candidates will be invited to interview. If so, the recruiter will reach out to schedule. · Offers : Finalists from the interview will be contacted by a recruiter to discuss an offer for the job Note : Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $43,000 - $56,200 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Humana

Grievances & Appeals Representative

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Work From Home Bilingual Jobs in Oklahoma City, OK

Claims Management Resources Inc

GE Appliances, a Haier company

Humana