This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The clinical member services agent (CMSA) is responsible for providing effective customer service for all internal and external customers by using excellent, in-depth knowledge of company products and programs as well as communicating effectively with team members within the clinical department. The CMSA will work in conjunction with the member service agent to assist in clinical situations and resolutions. - Knowledge of principles and processes for providing customer and personal services, including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. - Confer with customers by telephone to provide information about Rx claims processing. - Understanding of Pharmacy terms and formularies as a certified Pharmacy Technician (CPhT). - Keep detailed records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken. - Follow-up to ensure that appropriate changes were made to resolve customers' problems. - Refer unresolved customer grievances to designated departments for further investigation. - Review Rx insurance policy terms to determine whether a claim is covered for employer group. - Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments. - Resolve customers' service or billing complaints. - Obtain and examine all relevant information to assess validity of complaints and to determine possible causes. - Abide by all obligations under HIPAA related to Protected Health Information (PHI). - If a HIPAA violation is discovered, report the violation to the Compliance Officer and/or Human Resources. - Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company. - Flexibility to understand, appreciate and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Qualifications - High School or equivalent. - Customer service experience. - Certified Pharmacy Technician Certification (CPhT) with experience in a pharmacy setting. - Computer experience. Requirements - Interacting with Computers — Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information. - Communicating with Supervisors, Peers, or Subordinates — Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person. - Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources. - Communicating with Persons Outside Organization — Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. - Processing Information — Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data. - Resolving Conflicts and Negotiating with Others — Handling complaints, settling disputes, and resolving grievances and conflicts. - Updating and Using Relevant Knowledge — Keeping up-to-date technically and applying new knowledge to your job. - Organizing, Planning, and Prioritizing Work — Developing specific goals and plans to prioritize, organize, and accomplish your work. - Performing Administrative Activities — Performing day-to-day administrative tasks such as maintaining information files and processing paperwork. - Making Decisions and Solving Problems — Analyzing information and evaluating results to choose the best solution and solve problems. - Customer and Client Focus. - Problem Solving and Analysis. - Time Management. - Communication Proficiency. - Teamwork Orientation. - Technical Capacity. - Multitasking. - Competencies as a Certified Pharmacy Technician (CPhT). Benefits - Medical, Dental, Vision Insurance - Disability and Life Insurance - Employee Assistance Program - Remote work options - Generous Paid-Time Off - Annual Reviews and Development Plans - Retirement Plan with company match, immediately 100% vested Position Type and Expected Hours of Work This is a full-time, hourly position. Days and hours of work vary on shift assigned. The Call Center hours of operation are Monday – Friday 6a – 10p, Saturday 8a – 6p, and Sunday 8a-5p. On-Call responsibilities are on a rotation basis. This position reports to the Contact Center Supervisor. Travel Minimal travel expected for this position to Natchitoches, Louisiana for training and development.

Description Join an Amazing Team at Davinci Virtual! Davinci Virtual is the leading global provider of business addresses, live answering services, and meeting spaces. We’re a fast-growing, fulfillment-driven company known for our innovative solutions and exceptional service—and we’re looking for friendly, energetic people to join our team! As a Virtual Client Specialist, you are the voice of our company. You’ll handle inbound calls on behalf of Davinci’s clients while providing warm, professional, top-notch customer support. After completing in-person training at our Midvale office, you’ll work fully from home—no commute, no dress code, all comfort. (You’ll just need reliable internet and a quiet workspace.) If you're enthusiastic, customer-focused, and excited about growing with an incredible team, this may be the perfect fit for you! What We Offer: Competitive Pay & Bonuses • $16/hr. to start • New-hire bonuses at 3 months and 9 months • Lots of opportunity for advancement Exceptional Benefits (Seriously Amazing!) • 100% employer-paid Medical, Dental, and Vision for employees • Affordable family plans • HSA, FSA, and Dependent Care FSA options • Employer-paid life insurance, short-term disability, and long-term disability Rewards & Recognition Program – Nectar Earn points from peers, leaders, and HR that you can redeem for: • Bonuses added to your paycheck • Extra paid time off • Amazon items or gift cards Work-From-Home Flexibility • After training, work fully remote • Supportive team and leadership • Opportunities for professional development and leadership training What You'll Do: • Answer inbound calls accurately, efficiently, and with a great attitude • Provide outstanding customer service on every call • Navigate client instructions, websites, schedules, and tools with confidence • Send professional, well-written emails as needed • Meet call quality, accuracy, and answer-time standards • Communicate effectively with coworkers, leaders, and clients • Review team stats daily and strive to meet goals • Follow department procedures, policies, and workflows • Contribute to team culture and be a positive, supportive teammate Grow With Us – Professional Development: • Participate in leadership and personal development programs • Bring forward ideas to improve processes and the customer experience • Commit to achieving team and company goals • Continuously learn new tools and skills Requirements What You Need: • High School diploma • 40+ WPM typing speed • Excellent written and verbal English skills • Customer service experience • Proficiency with Microsoft Office, Outlook, Internet, and Windows • Reliable high-speed internet for WFH • Backup location in case of outages (or ability to work occasionally from our office) Preferred Traits: • Team player with strong communication • Problem-solving and conflict-resolution skills • Motivated, tech-savvy, and eager to learn • Organized, focused, and adaptable • Consistent and dependable attendance • Professional presentation Working Conditions • Quiet, distraction-free home workspace • Frequent use of phone and computer systems • Must be able to sit at a desk for most of the shift • Minimal physical effort required All job offers are contingent upon passing a background check, including verification of past employment, education, and criminal records as permitted by law.

Are you a passionate individual seeking a fulfilling career that offers flexibility and growth opportunities? Look no further! With the option to work from home and enjoy a flexible schedule, you can balance your personal and professional life seamlessly while advancing your career. Perks Include: 1. Work-Life Balance: Embrace the freedom to work from home and tailor your schedule to fit your lifestyle, ensuring you have time for what matters most to you. 2. Supportive Environment: Join a nurturing community that values work-life harmony and provides the support and flexibility you need to thrive in your career. 3. Mentorship & Growth: Access mentorship opportunities from experienced leaders who are dedicated to helping you succeed, empowering you to grow and excel in your role. Qualifications: • Dedication to delivering exceptional customer service experiences. • Strong communication and interpersonal skills. • Ability to lead and inspire teams to achieve outstanding results. • Desire to pursue professional growth and development while maintaining a healthy work-life balance. If you’re ready to embark on a fulfilling career path that offers flexibility, growth, and support, apply now! Take advantage of this opportunity to work from home, enjoy a schedule that suits your lifestyle, and receive mentorship as you advance your career in client service leadership. Don’t miss out on this chance to prioritize both your personal and professional aspirations. Apply today and take the next step towards a rewarding career! *All interviews will be conducted via Zoom video conferencing (Global Elite Empire Consultants is a third-party recruiter, not an insurance agency)

Member Service Coordinator Location: Dallas, TX (remote). What Our Member Service Coordinators Do and Why It’s Important: Member Service Coordinators provide exceptional customer service, supporting participants through their company’s wellness program and addressing any inquiries or concerns related to our wellness initiatives. Additionally, this role is the forefront of our advocacy services, helping members navigate their benefits and ensuring they receive the support they need. Core Activities of the Job Include: - Answering all questions related to HealthCheck360 products, services, and programs through phone, email and chat - Assisting with tasks that may include processing Physician’s Screening Forms, participant outreaches, printing or binding, and other special projects. - Providing feedback and presenting solutions to improve efficiencies and the participant experience - Support advocacy services to help members understand and utilize their benefits effectively. Schedule: The standard work week for this position will be Monday through Friday, 8-5pm. Strengths and Skills Necessary for Success in the Role: - For this role, we are looking for several key characteristics that will be necessary to succeed in the position: positive, team-oriented, solution focused, highly organized and even-keeled. About Cottingham and Butler’s Health and Wellness Division Cottingham and Butler’s Health and Wellness division was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through our Health Coaching and Condition Management programs. Want to learn more? Follow us on www.CottinghamButler.com | LinkedIn | Facebook