Customer Representative

Anthias Biopharma Pvt Ltd

Job Description for Customer Care Executive for Golden Chemist:

01. Pharma & Pharma Preferred. Primary Pharmacy phone coverage answering calls and handling to resolution. Answer assertion benefit questions from callers on both group and individual pharmacy products.

02. Providing client service and timely responses to customers via phone, online chat, and email.

03. Guide and educate customers on their prescription benefits, use of plan, formulary, premiums and status of orders and claims or inquiries.

04. Make outbound calls to customers on prescription orders and payment issues.

05. Performs related duties:

a. Reviews, updates and become familiar with new and revised benefit information, drug information or claim processing procedures.

b. Be familiar with drug names and recognize new drugs as they are released and added to the ODS drug list.

c. Resolve and record complaints, coverage determinations, appeals, and inquiries.

d. Provide timely follow up and return calls when these are required.

e. Answer calls within service level time.

06. Ability to meet all CMS (Centre of Medicare & Medicaid Services) guidelines/deadlines as it pertains to Pharmacy benefits management.

07. Performs special projects as assigned by Supervisor or Team Leader.

08. Maintain the individual daily logs.

09. Communication / Issue escalation to seniors if there is any in a timely manner.

10. Excellent verbal and written communication skills and ability to interact professionally, patiently, and courteously with customers over the phone.

11. Ability to work well under pressure with frequent interruptions and shifting priorities.

12. Maintain confidentiality and project a professional business presence and appearance.

13. Demonstrated ability to handle difficult, angry calls and benefits issues with little assistance.

14. Ability to come to work on time and on a daily basis.

• Experience

  2 - 3 Years

• No. of Openings

  20

• Education

  Diploma, Higher Secondary, Any Bachelor Degree

• Role

  Customer Care Representative

• Industry Type

  Call Centre / BPO / KPO / ITES / LPO

• Gender

  Male

• Job Country

  India

• Type of Job

  Full Time

• Work Location Type

  Work from Office