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Full-time Assoc Service Ops Spec

at Coventry Health Care, Inc. in North Dakota


Your Standard is Excellence

You've been looking for an opportunity to work with people who share your commitment to a higher standard. You imagine building a career and even enjoying your work.

Good News.

We've been looking for you, too!

Coventry Health Care is a leader in the managed care industry. Great people enable us to provide service that differentiates us from the competition. We offer a highly rewarding professional environment built around meaningful assignments, collaborative work environments and excellent training and development opportunities. We are a Fortune 500 company, and are proud to have also been named to Forbes Platinum 400 and Barrons 500.

At Coventry Health Care, you'll have the opportunity to collaborate with talented and dedicated professionals while developing and expanding your career. Consider building a career with us!

Associate Service Operations Specialist - Enrollment

General Summary
Responsible for reviewing and updating enrollment records, acknowledging and reporting receipt of client files, responding to client inquiries, and resolving client concerns within pre-determined departmental policies and procedures.

Essential Responsibilities
- Research customer information in response to inquiries including, but not limited to, coordination of benefits and enrollment.
- Complete missing member information on enrollment applications by researching member data within the Coventry enrollment system, making investigative phone calls and completing required fields on the vendor workflow system while reconciling against the scanned image of the application.
- Process and maintain health plan's enrollment records by working exceptions and system generated member record edits (electronic enrollment exception updates).
- Proactively identify issues and provide recommendations for resolution.
- Interface with customers by telephone and/or correspondence to respond to inquiries and resolve concerns.
- Compile, maintain and report individual inventory statistics on a daily basis.
- Take responsibility for own self-development; recommends areas where cross-training is needed.
- Promote positive team environment; seeks out ways to continuously improve teaming.
- Understand the team's performance against measured service operation goals; accepts ownership for individual and team results; identifies and initiates process improvements.
- Performs other duties as required.

Job Specifications
- High school degree or equivalent.
- Demonstrate analytical, critical thinking and basic problem solving skills.
- Proven ability to multi-task and work through multiple systems simultaneously.
- Ability to maintain production levels and quality goals.
- Customer service and/or team experience.
- Ability to establish and maintain effective working relationships.
- Excellent organizational, interpersonal, and communication skills.
- Required to pass a battery of job-related tests administered prior to employment.

It's easy to build your career at Coventry.

Visit our website where you can view our open positions and learn more about your next opportunity with Coventry!

http://careers.cvty.com

How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://coventry.contacthr.com/16387145


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Full-time Assoc Service Ops Spec at Coventry Health Care, Inc. in North Dakota Jun 12, 2010

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Published on Jun 25, 2010
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