About the position Fantastic Call Center Opportunities with training, career path advancement, great benefits, paid time off, heath insurance and more.. The REMOTE work model can commence after approximately 8-9 weeks of on-site training in Worcester, MA. Must be able to type 25 WPM net. It’s an exciting time to join Fallon Health as we experience growth and expansion with new services and products. There are many great opportunities within our organization starting with joining our Member Services team. Member Services offers a very unique opportunity to interact with nearly every facet of the Fallon Health organization including our products, services, functions, and people. Among the most rewarding and fulfilling parts of working on this team is representing Fallon Health as the face of the organization; the single point of contact for our valued providers and members. Think of yourself as an Fallon brand and membership ambassador. As a representative of Fallon Health, you will be an advocate to members reaching out for support; providing this highly valued service fielding calls and constitutively troubleshooting inquiries, you will be solving their needs and concerns. In addition to the diverse responsibilities outlined below, a spot on this team also represents one of the best places to grow your career. With demonstrated initiative and strong performance, you will gain exposure across a multitude of functions and endless opportunities for advancement. Member Services has proven to be a launching pad of development that has translated into long term careers with advancement opportunities throughout the company in a number of different key area’s such as; Sales and Marketing, Provider Relations, Care Services, Pharmacy and other functions of the operation. As a brand champion and valued member ambassador you will get extensive training and support through a skill based progression training program that includes a blended learning curriculum and personalized coaching plan. We are always looking for top talent in these roles so feel free to pass this along to friends, family and colleagues that you think qualify.

Responsibilities

• The Member Services Representative is accountable for successfully addressing member and provider inquiries received through Fallon Health's 1-800 numbers, as well as providing direction on Plan policies, procedures, and benefits.
• Ownership for development of knowledge and skills, as training program provides material and framework for success.
• Ownership for customer satisfaction. Member Service Representatives are the primary liaison for our members to obtain the information or support they need As such, our representatives are expected to fully understand member/ provider needs, and within corporate/ department policies, take whatever action is necessary to fully satisfy the inquiry.
• Clear and concise documentation of call detail for tracking of member/ provider contacts.
• Identification and communication of trends that are indicative of enterprise service issues.
• Escalation of member/provider concerns and servicing issues.
• Appropriate execution of corporate and department policies/ practices.

Requirements

• High school diploma or GED is preferred but we would consider relevant customer service call center work experience in lieu of this.
• Bachelor’s degree or advanced education is also preferred but not required.
• 2+ years professional work experience preferably in a customer facing inbound call-center setting
• The ability to multitask and leverage strong typing skills and a high proficiency with MS Word, MS Excel and system data entry are essential tools for success in this role
• Must be able to type 25 WPM net.

Benefits

• training
• career path advancement
• great benefits
• paid time off
• heath insurance