Descripción de la oferta: Responsible for managing correspondence and providing customer service. Receives and processes correspondence, ensuring documentation and regulatory compliance, and prepares reports. Handles customer calls, resolves service requests, guides benefits, and maintains updated information for insured individuals.

Responsabilidades: •Receive, and process all regular and returned correspondence for Medicare Advantage and Commercial coverages, ensuring proper analysis, control, documentation, records, distribution, digitization, and handling that can record and account for correspondence activities at the reporting level and compliance with applicable regulations. •Determine the disposition of each item of correspondence received in the unit. Collect relevant records for specific issues, review them to verify their integrity and accuracy, and attach records to correspondence as necessary while preparing reports. •Prepare documents and correspondence for internal and external clients, ensuring shipments to other departments for closure of the established service cycle and processes. •Process communication with clients to notify them of receipt of regular and returned correspondence, documenting each contact in an established system, while providing clear and concise explanations of current rules and regulations. •Work on documents as necessary and approved templates for responses to requests or issues identified in correspondence. • Make outbound calls to clients to guide, receive, resolve, and/or channel service requests. Provide detailed guidance on benefits, clarify customer doubts about products and services, ensure adequate analysis to identify any situation, and establish the course to follow. • Meet all expected standards, such as the number of cases attended and documented. • Register cases in the application defined for call and correspondence management processes or other required applications. Document all the steps taken to complete the service cycle in Git. • Comply with the established work schedule and quality audits to ensure that the work agenda and performance standards are not affected. • Answer calls from the call centers received from members with questions, concerns, or complaints about highly complex situations regarding benefits, processes, and coverage, among others. •Receive, resolve, and/or channel service requests to support customer retention, which includes assisting other departments as needed. • Must comply fully and consistently with all company policies and procedures, with local and federal laws as well as with the regulations applicable to our Industry, to maintain appropriate business and employment practices. • May carry out other duties and responsibilities as assigned, according to the requirements of education and experience contained in this document.