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in Tacoma, WA

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Hours Full-time, Part-time
Location Tacoma, Washington

About this job

Position Purpose: Supervise assigned customer service function at the health plan to meet overall business goals and objectives

* Ensure the team meets its goals and objectives through effective hiring, performance management, coaching and career development

* Act as the Complaints Coordinator; ensuring all complaints are resolved and responded to appropriate parties

* Develop, implement and maintain materials and programs ensuring production and quality standards are met

* Hire, motivate, coach, counsel, and supervise the daily functions of the provider services staff

* Educate members regarding plan benefits as appropriate and refer members to Connections Representatives

* Evaluate and audit performance and identify and implement improvement opportunities to increase overall productivity and effectiveness

* Ensure plan pends are completed

* Review and respond to complex issues and questions

* Ensure processes are compliant with contractual agreements and State and Federal regulations

* Analyze and advise management of personnel, work-flow issues and trends and recommend resolutions

* Audit daily phone log reports and access the need for changes

Education/Experience: Bachelor's degree in healthcare, business or a related field or equivalent experience. 2 years of customer service/call center experience, preferably in a healthcare or insurance environment. At least one year of experience as a supervisor or lead preferred.