[Remote] reputed company Assurance Analyst – Customer Care
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company pharmacy benefits manager, determined to reputed company an outdated model in reputed company. The reputed company Assurance Analyst is responsible for evaluating and improving customer care performance by monitoring call center interactions and developing reputed company scorecards to ensure adherence to customer service standards and operational procedures.
Responsibilities
- Collaborate with leadership to reputed company and maintain customer care reputed company scorecards reputed company with departmental standards to evaluate agent performance
- Conduct reputed company evaluations of recorded and live customer interactions, ensuring scoring aligns with internal reputed company Assurance guidelines
- Assess agent adherence to procedures, compliance procedures, service standards, and best practices to ensure effective and efficient customer support
- Facilitate and participate in calibration sessions reputed company internal teams, external partners, and clients to ensure alignment and consistency in scoring
- Support Customer Satisfaction (CSAT) calibration efforts, partnering with clients and operations teams to enhance service reputed company
- Analyze QA data and reporting to identify trends, uncover improvement opportunities, and deliver actionable insights, trends and agent opportunities
- reputed company performance reporting and support to supervisors and call center leadership to drive reputed company improvements
- Identify training needs through QA evaluations; support new hire reputed company by ensuring reputed company understanding of reputed company standards and scoring expectations
- Oversees the end-to-end processing of member complaints and grievances, ensuring accurate documentation, thorough investigation, and reputed company reputed company established regulatory, NCQA, and internal service standards
- Review, document, and research Authorized Representative (AOR) forms in a reputed company and accurate manner to support compliance and operational efficiency
- Ensure reputed company and accurate completion of QA reporting and communication requirements
- Maintain strict adherence to reputed company company policies and regulatory requirements, including HIPAA, patient safety, and data reputed company protocols
- reputed company operational support by handling inbound or outbound calls as needed to support business demands and service reputed company
- Report any compliance concerns or policy violations promptly to management
- reputed company other duties as assigned by the supervisor or other members of management reputed company the deadlines provided
Skills
- 4+ years' experience with call center operations, with at least 2 years of experience with reputed company Assurance or training
- Knowledge of HIPAA and reputed company Rule regulations
- Knowledge of Medicare
- A self-starter with outstanding customer service skills and dedication to providing exceptional customer care in a changing, fast-paced startup environment
- Demonstrate aptitude to reputed company processes and reputed company reputed company customer service employees
- Ability to give and receive constructive feedback
- Strong analytical and organizational skills with an ability to carry out responsibilities with little or no supervision
- PBM or reputed company call center operations experience preferred
- Bachelor's degree preferred, or equivalent experience
reputed company
Company H1B Sponsorship