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Health Plan Specialist III
Minnetonka, MN
Job Description
Health Plan Specialist III
Equal Opportunity Employer including Veterans and Disabled Individuals
This senior-level Health Plan Specialist will be part of our Individual and Family Business department and will be responsible for managing all inquiries from active, terminated and prospective members of Medica. In addition to being the primary contact and subject matter expert for members to interpret contracts, explaining benefits, and resolving various service problems, this position will be responsible for mental health intakes, provider referrals, triaging for crisis and higher levels of care, and managing hand offs to Medica Behavioral Health for case management.
This opportunity includes 4 weeks of paid training and a comprehensive benefit package.
Come join our fast-paced and rewarding team where you will utilize your skills and knowledge to deliver exceptional levels of service satisfaction!
- Bachelor's degree in in psychology or social services or equivalent work experience required
- 3 years customer service experience required
Skills and Abilities
- Excellent verbal and written communication skills
- Advanced ability to multi-task between department processes and manage time efficiently
- Ability to identify process improvements, provide mentor and peer feedback and develop knowledge of multiple products and platforms required
- Demonstrated ability to learn quickly and respond well to a rapidly changing industry and operational environment
- Demonstrated ability to make calculated decisions and assessments on a daily basis
Equal Opportunity Employer including Veterans and Disabled Individuals
Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
Bachelor's Degree
Required Experience
3+ years
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