Call Center Officer / Nurse at Eagle HMO

About the job

• Receive calls from members or employer groups and providers and prospective clients
• To receive calls from providers and have first call resolution on pre-authorization queries for limited and straightforward cases or route the query to the correct department for call resolution
• To receive and resolve all member related calls and to ensure that all complaints and queries are resolved on first call resolution or escalate the query for resolution
• To receive calls from prospective clients and re-route the calls to the appropriate department.
• To log inquiries for all calls relating to registered providers, Clients, and members.
• To follow up on specific cases as distributed by the manager to ensure a value-added service offering.
• To adhere to the organizational values.
• Research and identify new business opportunities - including new markets, growth areas, trends, customers, partnerships, products, and services - or new ways of reaching existing markets.
• Develop a growth strategy focused both on financial gain and customer satisfaction.