Bilingual/Spanish-Licensed Health Insurance Customer Service Representative-Tier 3

Job Order: J0513-1189 - Permanent Full Time
Title: Bilingual/Spanish-Licensed Health Insurance Customer Service Representative-Tier 3
Category: Information Technology
City: Colorado Springs, Colorado, United States

Job Description: Bilingual/Spanish-Licensed Health Insurance Customer Service Representative-Tier 3

CGI is seeking a Service Center Bilingual/Spanish- Customer Service Representative licensed to sell health insurance in Colorado to provide telephone support for the Connect for Colorado program a provider of health insurance assistance for eligible individuals and small employers. Representatives will support individual consumers with eligibility determination and specific plan selection and advice and general education about health insurance products. Representatives will also provide support for small employers seeking to use the Health Insurance Exchange to provide insurance to their employee population. This will include answering questions related to eligibility for the Exchange and plan selection options for employee populations. Representatives will also provide support for licensed Brokers and Assistors who are providing direct support to other customers. Primary responsibilities are related to inbound calls and referrals. Some outbound calling will be necessary as follow-ups to potential new customers. Other duties may be assigned as necessary.

RESPONSIBILITIES:

- Acts as primary contact to Colorado customers seeking health care alternatives.
- Handles inbound and outbound telephone contacts in relation to individual's and household eligibility determination, health plan selection and enrollments, renewals as well as eligibility and enrollment status, member information changes, and other business for particular member accounts.
- Provides individual consumers with plan selection recommendations when necessary.
- Provides in-depth program information and support for small employers wishing to use program insurance products for their employees.
- Provides support for insurance brokers who are providing direct support to individuals and employers in their use of the Exchange.
- Provides specialized expertise in health insurance counseling to consumers/employers referred from other non-licensed agents within the service center.
- Makes referrals to other specialized informational resources outside the service center based on customer needs and according to program policies and procedures.
- Answers questions related to the use of the Exchange Portal inclusive of screen navigation, account set up and password resets.
- Makes outbound calls related to prospective new customers/referrals.
- Maintains a positive image to the customer and all related entities and focuses all actions toward customer service and satisfaction balanced by consistent decisions.
- Answers questions consistent with program policy and guidelines, and follows company workflow and processes.
- Follows all pertinent policies and procedures.
- Protects all aspects of the client's information and business.
- Maintains confidentiality of customer interactions consistent with program privacy and confidentiality rules.
- Enters data into policy system, logs information into database and corrects information as needed.
- Assures accuracy in eligibility and enrollment processing and makes decisions in the best interest of protecting the integrity of the client's business.
- Functions positively in a technological and team-based environment.
- Makes suggestions for improvements throughout the business process.
- Follows all guidelines in compliance with security and privacy standards, inclusive of but not limited to FTI, PHI, and HIPAA standards.
- Maintains production standards.

QUALIFICATIONS:

- College degree or equivalent experience.
- Must have three or more years' experience selling health insurance products to individual and/or employer markets. Small employer experience is a plus.
- Working knowledge of Microsoft Office programs.
- Strong verbal and written communication skills are required.
- Ability to work flexible work schedules.
- A proven team player.
- Bilingual in Spanish (verbal and written)
- Hold (or obtain) a Colorado Health Insurance Producers License At CGI, we're a team of builders. We call our employees members because all who join CGI are building their own company - one that has grown to 69,000 professionals located in 40 countries. Founded in 1976, CGI is a leading IT and business process services firm committed to helping clients succeed. We have the global resources, expertise, stability and dedicated professionals needed to achieve results for our clients - and for our members. Come grow with us.

This is a great opportunity to join a winning team. CGI offers a competitive compensation package with opportunities for growth and professional development. Benefits for full-time, permanent members start on the first day of employment and include a paid time-off program and profit participation and stock purchase plans.

We wish to thank all applicants for their interest and effort in applying for this position, however, only candidates selected for interviews will be contacted.

No unsolicited agency referrals please.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER.

Skills
- Leadership

Reference: 257670