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Role Value Proposition:
Global Operations (Global Ops) focuses on creating positive experiences for Company customers and helping the company make the best use of its global resources. We’re looking for unique talent with fresh perspectives that can propel innovation. This role will responsible for both installing and maintaining Eligibility files. There is significant involvement with both internal and external customers, specifically with analysis/mapping of data into our Eligibility system.
Key Responsibilities: (Limit 5 bullets)
Work directly with external customers (Client or TPA) in order to establish format and transmission method for Electronic Eligibility files across all market and products.
Perform testing of Eligibility files and provide feedback accordingly to external customers.
Set up file mapping rules to translate both standard and non-standard customer data into UIS system.
Attend conference calls related to various Eligibility file issues/topics and provide consultation relative to resolution and next steps.
Respond to email and phone inquiries from customers
Analyze file requests in order to ascertain whether customized IT programming is needed and submit business requirements for client specific enhancements.
Generate reports from Eligibility system for both ad-hoc and ongoing requests.
Conduct investigative analysis for individual client-specific member inquiries and make recommendations on short and long term resolutions.
Manage ticket tracking system for all owned requests and provide daily status updates.
Create and maintain client-specific documentation relative to overall file processing rules packages.
Support Product-specific Installation queues as needed.
Support Market-specific Maintenance queues as needed.
Submit requests through Quality Assurance team and make updates to requests as needed.
Essential Business Experience and Technical Skills:
1-2 years of customer service experience
Outstanding customer service skills
Excellent communication skills (oral and written)
Strong Time Management Skills
Ability to manage projects and multiple tasks in order to meet deadlines and produces results
Knowledge of Microsoft Office (Excel, Word, PowerPoint, VISIO)
Ability to learn new technology tools
Initiative-driven with a desire to see all requests through to completion
Ability to work independently with minimal supervision
Flexibility of hours especially during peak season
High School Diploma
Bachelor’s Degree Preferred
EDI Elidigibility experience preferred
At Company, we’re leading the global transformation of an industry we’ve long defined. United in purpose, diverse in perspective, we’re dedicated to making a difference in the lives of our customers.”
Company is a proud equal opportunity/affirmative action employer committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. It is Company's policy to ensure equal employment opportunity without discrimination or harassment based on race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.
Company maintains a drug-free workplace.
For immediate consideration, click the Apply Now button. You will be directed to complete an on-line profile. Upon completion, you will receive an automated confirmation email verifying you have successfully applied to the job.
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