Special Services Representative at Elevance Health

Posted in Other 14 days ago.

Location: Cincinnati, Ohio





Job Description:

Title: Special Services Representative




Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.


The Special Services Representative is responsible for researching and responding to written and telephone inquiries from a variety of sources including the DOI, Cabinet for Health Services (CHS), Attorney General's Office, media, state/federal legislators, members, attorneys representing members and inquiries received from any of these sources addressed to company executives.



How you will make an impact:



  • Researches and responds to written and telephone inquiries from a variety of sources to ensure an outcome that is appropriate and in accordance with contract language and regulatory requirements.

  • Prepares written correspondence that effectively communicates the company's position and satisfies all regulatory requirements.

  • Identifies procedural problems, issues or trends to reduce corporate risk and improve customer service.

  • Appears at depositions in court or at the DOI to verify the company's policies and procedures.




Minimum Requirements



  • Requires HS diploma or equivalent and a minimum of 5 years customer service experience and extensive knowledge of systems; or any combination of education and experience which would provide an equivalent background.




Preferred Skills, Capabilities and Experiences




  • FHPS experience preferred.


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