Seeking a Sr consultant with a strong understanding or health insurance call center operations to advise and assist in the development of an architecture/operational plan for a health plan (dental/vision/hearing) insurance call center.
Consultant area of knowledge overview:
- Experienced Call Center consultant with strong operational experience with Health Plan/Group Health Insurance organizations.
- Insurance industry expertise for dental, vision, hearing plans and/or medical plans.
- Knowledgeable in various sized call centers, health insurance operational processes, metrics, and performance statistics.
- Experienced in daily operational functions such as claims processes, denials/appeals, eligibility verification, insurance plan questions, covered procedures, common member call types, CSR/associate training, policy and procedures manuals, CSR scheduling, call center technology, SLAs, etc .
- Specializes in large call centers and diverse call center configurations.
- Strategies for customer experience, quality programs, and employee engagement.