Customer Service Representative

4 weeks ago

Toronto, Canada First Canadian Health Full time

First Canadian Health Management Corporation (FCH) is a 100% Indigenous owned and operated company, providing Indigenous staffing on health services to Indigenous People. We are hiring a Customer Service Representative, ideally Indigenous, who is passionate to work for an Indigenous company. Our employees work on NIHB (Non
- Insured Health Benefits) Program and are a direct support to the Indigenous communities through providing excellent customer service. This employment opportunity is targeted to the individual who can provide compassion and service excellence to the community and health care providers. Remote work available.

**Description**:
The primary role is to respond to in-coming medical provider inquiries. The Provider Call Centre is the venue for telephone communication related to day-to-day claims adjudication queries. This position is instrumental in meeting contractual objectives and service levels.

**Key Responsibilities**:

- Respond to a steady volume of inbound call from Health Care Providers
- Respond to inquiries regarding eligibility on multiple benefit types (Dental, Pharmacy, Medical Supplies and Equipment, Extended Health, Vision Care and Mental Health Counselling) and claim inquiries
- Identify and assess Providers’ needs and achieve first call resolution on every call
- Provide accurate, valid, and complete information in accordance with applicable call scripts and documented procedure manuals
- Provide technical support to Providers where required in order for the Provider to submit claims electronically, assist in navigation of public websites, and troubleshoot on claims transmission errors
- Keep abreast of procedural changes, circulated newsletters and external communications to ensure the most accurate information is communicated to Providers on the call
- Manage complaints and provide appropriate solutions and follow-up where required to resolve an inquiry. In cases of an escalated nature, the CSR will transfer the live call to a Supervisor for assistance
- Participate in training and cross training for Pharmacy, Dental, Medical Supplies and Equipment, Vision Care, Mental Health Counselling and Extended Health benefits as required for skill development
- Attend regular team meetings for procedural updates and team building and coaching sessions as required for quality assurance and performance development

**Qualifications**:

- One-year experience in a call centre or customer service environment or relevant comparable experience
- Intermediate skills in MS Office (Word, Excel, Outlook)
- Strong keyboarding skills
- Excellent verbal and written communication skills
- Strong interpersonal skills with the ability to work independently and within a team environment
- Exceptional problem-solving skills

**Physical Demands/Working Conditions**:

- Must clear Public Works enhanced security clearance screening
- Job requires precise finger/hand movements while working with a keyboard
- Need to remain at work station for lengthy periods
- Must be flexible to work shifts; including days, afternoons, evenings - 6:30 a.m. to midnight, weekends and holidays 8:00 a.m. to midnight

We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.

**Job Type**: Fixed term contract
Contract length: 6 months

**Salary**: From $21.50 per hour

Schedule:

- Monday to Friday
- Weekends as needed

Application question(s):

- Have you been granted security clearance with Public Works?

**Experience**:

- Customer Service: 1 year (required)
- Indigenous Cultural Knowledge: 7 years (preferred)

Work Location: Hybrid remote in Toronto, ON

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