Customer Service Representative I (2796)
CaliforniaChoice · Lewisburg, TN
Job description(tap to read)
Purpose of Position: The Customer Service Representative I handles calls from customers to resolve, educate, follow-up and respond to questions regarding California Choice/Choice Builder plan administration and procedures groups, members, brokers and general agencies. Essential Functions: • Understanding of company policies and procedures as they apply to California Choice/Choice Builder plans. • Answers questions by telephone from groups regarding new hires, billings, rates, supplies, administrative procedures, etc. • Educates, via telephone, employees/dependents regarding PCP's, ID cards, RX problems, administrative procedures, dependent coverage, address changes, etc. • Follows-up on calls and emails from brokers regarding problems that their groups are experiencing with providers. • Ability to interact with brokers, general agents and sales representatives on a daily basis and must be able to answer questions regarding California Choice processes. • Responds to calls from providers to confirm eligibility and benefits. • Verifies enrollments and resolves issues with carriers. • Expedites processing of members enrollment with carrier if urgent services are needed. • Review and submit appeal requests from groups. • Review /Audit group billing and explain to clients in clear and accurate manner. • Document calls in call tracking system. • Departmental standard requires each Customer Service Representative to provide Service of Unequalled Excellence to all callers by maintaining an average of 90% or greater on Call Reviews. • Answer at least 100% of the daily call volume average. • Provide clear and explicit documentation while maintaining percentage at a level of 90% or higher daily. • Make busy time of 20 minutes or less per day. • Meet department standards for quality and quantity of work. • Meet department and team standards for turnaround times. • Adhere to all HIPAA (Health Insurance Portability and Accountability Act) and PHI (Personal Health Information) guidelines. • On-site regular attendance and punctuality are essential functions of the job. • Performs other business tasks or functions as assigned. Knowledge, Skills & Abilities Required: • At least two (2) years of customer service experience preferred. • Knowledge of the health insurance industry and customer service experience preferred. • Ability to handle irate customers in a courteous, patient, calm and positive manner while maintaining a high quality and quantity of work. • Experience in handling high call volume. • CA Life & Health license required. If successful applicant does not have insurance license, it is required to obtain one within six (6) months of date of hire. • Must have excellent verbal and written communication skills, especially under pressure. • Must be computer literate in Microsoft Word, Excel and Outlook. Accurate data entry skills a must. Typing at 55 WPM or more. • Must be able to work in a fast-paced environment where deadlines are a priority and handling multiple assignments simultaneously. • Problem Solving Skills required. • Must have a proficient knowledge of the English language. • Proficient knowledge of the Spanish language is a plus. If hired as a Bilingual representative, Language Assistance Certification is required every two (2) years. Additional Competencies: Action Oriented, Approachability, Customer Focus, Humor, Listening, Patience, Self-Knowledge, Technical Learning, Time Management, Written Communication In addition to the KSAs and Additional Competencies listed above, there are more competencies related to this position. Please refer to the Individual Contributor - Associate competency addendum. Educational Requirements: • High school diploma or equivalent required. Physical Requirements: Must be able to sit for extended periods of time and occasional standing and walking. Must have adequate hearing for phone work. Vision requirements include close vision and the ability to adjust focus. Must be able to communicate effectively in English. Must be able to use a keyboard and other office equipment. Ability to lift up to 10 pounds occasionally.
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Hiring Drivers Now · Lewisburg, TN
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Security Technical Account Manager
Red Hat · Lewisburg, TN
As a Security Technical Account Manager, you will work closely with our Engineering, Products and Technologies, Product Management, and Global Support teams to debug, test, and resolve issues. You'll need to be able to work as part of a team, enjoy working hard, and be professional and dedicatedto meeting and exceeding expectations and building relationships. You'll also need excellent collaboration skills, the ability to learn new technologies quickly, and the ability to use your time efficiently. What will you do: • Liaise with Red Hat Product Security and partners on behalf of customers. • Liaise between customers' operations and their security teams, and provide guidance on both general and industry-specific security paradigms. • Provide analytical support for routine, proactive security monitoring and any findings in any RH software that arise. • Provide analytical support for security impacts deriving from planned changes to any RH software on critical, sensitive systems, and timely diagnostic and remediation advice for ongoing security concerns affecting any RH software. • Mentoring security and operations staff regarding security attributes and security best practices for any RH software. • Facilitate customer use of the Project Lightwell clearinghouse to coordinate scanning, triage, patching, and backporting. • Collaborate with Red Hat Consulting to provide guidance on accelerating the software development lifecycle and OS patching at scale to maintain a trusted software supply chain. • Manage and grow customer relationships by delivering attentive, relationship-based support. • Build a sense of trust with customers and serve as their advocate within Red Hat • Perform technical reviews and share knowledge to identify and prevent issues. • Gain an understanding of customers' technical infrastructures and environments, hardware, and offerings. • Create customer engagement plans and keep documentation on customer environments up to date. • Support enterprise customers implementing automated and containerized cloud application platform solutions. • Perform initial or secondary investigations and respond to online and phone support requests • Partner closely with Red Hat's engineering, product management, and technical support teams to debug, test, and resolve. • Regularly contribute to the Red Hat knowledge base and share best practices with peers and colleagues. • Participate in internal projects and initiatives, and serve as a subject-matter expert and mentor for specific technical or process areas. • Deliver key portfolio updates and help our customers successfully implement upgrades. • Manage customer use cases and maintain clear and concise case documentation • Engage with Red Hat's solutions engineering teams to help develop solution patterns based on customer engagements and personal experience to guide platform adoption. • Engage with Red Hat's field teams, customers, and partners to ensure a positive cloud technology experience and a successful outcome resulting in long-term enterprise success. • Handle tough problems in an innovative way. • Subject Matter expert on the Security and the Red Hat portfolio. What you will bring: • US Citizenship Required • Associates' or Bachelor's degree or higher in computer science or a technical discipline • Red Hat Certified: RHCE (RHCA preferred) • Security Certification (CISSP, CCSP, CompTIA Security +, (ISC)² Certified in Cybersecurity (CC), Certified Ethical Hacker) preferred • Demonstrated track record of working in a strategic advisory role to senior IT and business executives • Applied knowledge and experience working in agile, scrum, and DevOps teams • 10+ years of experience working in a security role, customer support, development, engineering, or quality assurance (QA) organization. • Ability to manage and grow existing enterprise customer relationships by delivering proactive, relationship-based support. • Outstanding written and verbal communication skills; ability to convey complex information to customers clearly and concisely. • Competent comprehension of enterprise architecture and strategic business drivers. • Ability to manage multiple issues and projects with a focus on detail. • Application development and release engineering experience/knowledge. Great understanding of continuous integration (CI) and continuous delivery (CD) concepts. • Experience with or working knowledge of Red Hat Enterprise Linux (RHEL), Docker, Kubernetes, and Ansible • Aptitude to learn new technologies quickly, including topics like container orchestration, container registries, container build strategies, and microservices on container platforms • Willingness to travel to customer locations if required. • This is a remote-based job that can be located anywhere in the U.S. within close proximity to an airport. Other Skills: • US Security Clearance is a plus • Appreciation of and passion for open-source software • Deep knowledge of Red Hat Enterprise Linux • Experience with Red Hat's technology portfolio • Previous experience as a developer, consultant or solutions architect The salary range for this position is $107,980.00 - $172,730.00. Actual offer will be based on your qualifications. Pay Transparency Red Hat determines compensation based on several factors including but not limited to job location, experience, applicable skills and training, external market value, and internal pay equity. Annual salary is one component of Red Hat's compensation package. This position may also be eligible for bonus, commission, and/or equity. For positions with Remote-US locations, the actual salary range for the position may differ based on location but will be commensurate with job duties and relevant work experience. About Red Hat Red Hat is the world's leading provider of enterprise open source software solutions, using a community-powered approach to deliver high-performing Linux, cloud, container, and Kubernetes technologies. Spread across 40+ countries, our associates work flexibly across work environments, from in-office, to office-flex, to fully remote, depending on the requirements of their role. Red Hatters are encouraged to bring their best ideas, no matter their title or tenure. We're a leader in open source because of our open and inclusive environment. We hire creative, passionate people ready to contribute their ideas, help solve complex problems, and make an impact. Benefits • Comprehensive medical, dental, and vision coverage • Flexible Spending Account - healthcare and dependent care • Health Savings Account - high deductible medical plan • Retirement 401(k) with employer match • Paid time off and holidays • Paid parental leave plans for all new parents • Leave benefits including disability, paid family medical leave, and paid military leave • Additional benefits including employee stock purchase plan, family planning reimbursement, tuition reimbursement, transportation expense account, employee assistance program, and more! Note: These benefits are only applicable to full time, permanent associates at Red Hat located in the United States. Inclusion at Red Hat Red Hat's culture is built on the open source principles of transparency, collaboration, and inclusion, where the best ideas can come from anywhere and anyone. When this is realized, it empowers people from different backgrounds, perspectives, and experiences to come together to share ideas, challenge the status quo, and drive innovation. Our aspiration is that everyone experiences this culture with equal opportunity and access, and that all voices are not only heard but also celebrated. We hope you will join our celebration, and we welcome and encourage applicants from all the beautiful dimensions that compose our global village. Equal Opportunity Policy (EEO) Red Hat is proud to be an equal opportunity workplace and an affirmative action employer. We review applications for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, ancestry, citizenship, age, veteran status, genetic information, physical or mental disability, medical condition, marital status, or any other basis prohibited by law. Red Hat does not seek or accept unsolicited resumes or CVs from recruitment agencies. We are not responsible for, and will not pay, any fees, commissions, or any other payment related to unsolicited resumes or CVs except as required in a written contract between Red Hat and the recruitment agency or party requesting payment of a fee. Red Hat supports individuals with disabilities and provides reasonable accommodations to job applicants. If you need assistance completing our online job application, email application-assistance@redhat.com. General inquiries, such as those regarding the status of a job application, will not receive a reply.
Engineering Team Member/Curriculum Designer
JerseySTEM · Lewisburg, TN
Jerseystem Volunteer All JerseySTEM roles are pro-bono (unpaid) positions. JerseySTEM is a mission-driven professional network of pro-bono contributors dedicated to improving access to STEM education and career pathways for underserved middle school girls in New Jersey. Members contribute their professional skills and leverage their networks in service of the organization's gender-equity agenda. Membership is a minimum six-month commitment of approximately six flexible hours per week and includes a $100 refundable deposit, returned after six months of active membership. K–12 educators, retirees, veterans, interns, and students are exempt from the deposit. Overview This is a pro-bono volunteer position. As a member of a team of 3-4 volunteers, develop and/or acquire as well as improve STEM Engineering Outreach Program curriculum to be delivered to middle school girls (grades 5-8) who are in underserved communities. (The Outreach Programs are typically delivered as after-school programs following a fall/spring semester schedule.) Responsibilities • Develop new and interesting STEM curriculum, and update existing curriculum • Reach out to content providers for potential partnership • Produce materials for both Program Instructors and students to use in the afterschool programs • Produce extracts of the Curriculum to fit the needs of the class • Answer content questions, and provide advice on curriculum content delivery • Leverage technology for innovative ways to deliver curriculum • Learn and practice the curriculum concepts • Use feedback from ongoing classes to improve/enhance existing curriculum • Be a proactive team member and be part of building a fun and exciting team! Qualifications • BS and strong background in an engineering related field • Experience with STEM curriculum a plus • Strong written and verbal communications skills • Able to adapt and solve problems as they arise • Willing to volunteer advice and opinion • Enjoy working with a team/collaborating Time Commitment • 3-6 Hours weekly • 6 months minimum