Customer Service Specialist in Troy, MI at Hire Road

Date Posted: 11/25/2019

Job Snapshot

  • Employee Type:
  • Location:
    Troy, MI
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

Customer Service Specialist

Troy, MI


Our client is a major health system looking to add to their Customer Service team in Troy, MI due to project growth. The Customer Service Specialist will research and answer inquiries, complaints, and appeals via phone, mail, and in person. Multiple roles are currently available with an anticipated start date of December 2nd, 2019.

The Customer Service Specialist must have an associate degree and/or at least four (4) years of experience in a customer service role.

Customer Service Specialist Requirements:

  • Associate degree OR a minimum of four (4) years of recent and related work experience in a customer service capacity
  • Course in Medical Terminology (required completion within six months of post-employment)

Customer Service Specialist Description:

  • Educate existing and potential members on policies, procedures, product offerings, benefit plan and coverage provisions related to all HAP products
  • Document all incoming inquiries accurately in to track member inquiry history and trends
  • Practice and maintain confidentiality to Privacy and HIPAA regulations. Proactively seek training and development to enhance skills and abilities
  • Monitor workflow inbox and outstanding cases to ensure that all inquiries receive an appropriate response in a timely manner
  • Contact members (by phone/or in writing), as needed, to ensure timely resolution and follow-up to inquiry
  • Interact with support departments in a professional manner to ensure member needs are met. Develop and maintain strong business relationships with inter-departments
  • Continue to self-educate on changes in policies and procedures that occur in other departments which could have an impact on department operations and the servicing of member/customers
  • Attend training and development sessions or continuing education opportunities offered by Customer Service and maintain enhanced skill levels and performance
  • Interact with providers and their staff to obtain information for resolving customer inquiries/complaints
  • Ensure and maintain compliance of all department and corporate standards, policies and procedures
  • Recommend process improvements based on observations and trends identified while interacting with internal and external customers
  • Coordinate and assist with various departmental projects, member enrollment periods, outreach activities and corporate initiatives
  • Perform other related duties as assigned


Choosing the Hire Road is about shared success, active and committed partnerships and relationships that last.  Hire Road is solely focused on connecting highly skilled professionals with leading organizations. We are a solutions-based, results-oriented staffing company specializing in a wide range of industry specific practices. To put it simply, we recruit, screen and hire talented people for temporary and full-time positions.

This classification description is intended to indicate the general kinds of tasks and levels of work difficulty that are required of positions given this title and should not be construed as declaring what the specific duties and responsibilities of any particular position shall be.  It is not intended to limit or in any way modify the right of any supervisor to assign, direct and control the work of the employees under her/his supervision.  The use of a particular expression or illustration describing duties shall not exclude other duties not mentioned that are of a similar kind or level of difficulty.

Equal Opportunity Employer