198 Customer Service Representatives jobs in Atwater

**Description**
**JOB PURPOSE:** The Senior Manager, Strategic Contact Center Operations will lead strategic contact center teams to deliver an exceptional customer experience. The role will focus on creating and driving transformation initiatives and delivering premier experience for top customers to ensure their needs are exceeded, both proactively and reactively. This position is expected to execute the strategic plan by process alignment, continuous improvement, and people development. This position will be heavily customer and external facing.
This is an onsite position that may have the potential to become a Hybrid schedule in the future.
**ESSENTIAL FUNCTIONS & RESPONSIBILITIES**
_To perform this job successfully, an individual must be able to perform each of these essential functions at a satisfactorily level._ _Other essential and non-essential functions may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions._
+ Leads transformation initiatives to deliver enhanced, prioritized customer experience and improve operational efficiency.
+ Collaborate with premier customers to understand their unique needs and tailor services accordingly.
+ Develop and implement strategies to improve customer engagement and loyalty.
+ Acts as a liaison between premier customers and internal teams to ensure seamless service delivery.
+ Monitors and evaluates the impact of transformation initiatives on customer experience and operational performance.
+ Drives team performance to established KPIs.
+ Focuses on operational processes and gaps. Has a continuous improvement mindset.
+ Responsible for efficiency improvements and implementation of strategic operations initiatives.
+ Leads team in continuous customer experience improvements.
+ Leads with priority to coaching and development of team members.
+ Builds and maintains strong cross-functional partnership and relationships, both internally and with key customer contacts.
+ Drives employee engagement and retention.
+ Responsible for assets, expenses, and ensures operating budgets are met.
+ Responsible for performance reviews, counseling/disciplinary actions, and additional personnel decisions.
+ Establishes policies and procedures to meet a high-quality standard.
+ Performs all other duties assigned by Management.
**SUPERVISORY RESPONSIBILITIES:**
The position is a manager of managers and works under general direction of the Vice President of Call Centers, exercising discretion and independent judgment with respect to matters of significance in the department.
This position interacts with both internal and external customers.
**MINIMUM REQUIREMENTS:**
+ Education: Bachelor's Degree preferred. Or commensurate experience
+ 7+ years operations or equivalent experience
+ Minimum 7+ years in leadership, supervisory or managerial level experience with an emphasis on employee development and process improvement
+ Experience in call center transformation and change management, including examples such as:
+ Leading a project to redesign the call center's workflow to enhance efficiency and reduce call handling times.
+ Design and implement an enhanced customer experience model for premier customers.
+ Introducing and/or leveraging AI with agents to improve experience for technicians and the customer
+ Developing and launching a mobile application to provide customers with easier access to services and support.
+ Overhauling the training program to include digital tools and resources, resulting in improved employee performance and customer satisfaction.
+ Introducing automation in call routing to optimize resource allocation and reduce wait times.
+ Launching a ticketing-based help desk model that improved customer experience.
**Skill Sets:**
+ Demonstrated knowledge of Microsoft Office applications
+ Strong proficiency in Windows and PC-based applications
+ Proven experience using AI tool (Co-pilot, etc.)
+ Experience in implementing operational systems
**Other Requirements:**
+ Experience troubleshooting and/or resolving complex problems and issues (i.e., technical)
+ Demonstrated knowledge of the technology industry and general business management
+ Highly self-motivated with strong problem-solving skills.
+ Ability to organize, prioritize, and deliver in a fast-paced environment.
+ Superior follow-up and attention to detail skills
+ Flexibility and ability to work in a dynamic environment
+ Occasionally travel by automobile or commercial airline with overnight stays.
**Working Conditions:**
+ While performing the duties of this Job, the individual is occasionally exposed to wet and/or humid conditions; moving mechanical parts; fumes or airborne particles and toxic or caustic chemicals. The noise level in the work environment is usually low to moderate. The individual frequently works in a controlled climate. The individual is occasionally required to travel by automobile and/or commercial airline.
**This position is Short Term Incentive eligible.
About DRB: As the car care technology leader for 40 years, DRB is the ultimate partner for operators who seek rapid ROI, unparalleled membership growth and unwavering reliability. Our technology is designed to give operators the tools they need to maximize their car care investments. From groundbreaking point-of-sale technology to marketing automation that drives traffic, DRB enables data-led business decisions and scalability that helps car washes thrive while delivering extraordinary customer experiences. Choosing DRB means connecting with a partner that is A Vontier Company committed to car wash business success. Learn why leading car wash operators choose DRB: (NYSE: VNT) is a global industrial technology company uniting productivity, automation and multi-energy technologies to meet the needs of a rapidly evolving, more connected mobility ecosystem. Leveraging leading market positions, decades of domain expertise and unparalleled portfolio breadth, Vontier enables the way the world moves - delivering smart, safe and sustainable solutions to our customers and the planet. Vontier has a culture of continuous improvement and innovation built upon the foundation of the Vontier Business System and embraced by colleagues worldwide. Additional information about Vontier is available on the Company's website at .
The company in which you have expressed employment interest is a subsidiary or affiliate of Vontier Corporation. The subsidiary or affiliate is referred to as "Vontier Company".
Vontier is proud to be an equal opportunity employer. We strive to build inclusive environments and ensure equitable access, opportunity, and treatment for all. Vontier does not tolerate discrimination and harassment of any kind based on race, color, national origin, religion, ancestry, sex (including pregnancy, childbirth, and related medical conditions), age, sexual orientation, marital status, disability, veteran status, citizenship status, gender identity or expression, gender information and any other characteristics protected by law. We make hiring decisions based on your experience and skills. Vontier is committed to providing reasonable accommodations for qualified individuals with disabilities. If you need assistance or an accommodation in the application or interview process, you may contact us at e-mail
Equal Opportunity Employer ( (A Vontier Company) is the leading provider of technology-enabled devices and software solutions to the North American car care industry.
WHAT WE DO: enabling the future of vehicle care - wherever the road takes you.
WHY WE DO IT: To fuel our client's growth with connected, data-led technology, driven by our spirit of innovation and commitment to excellence.
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Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights ( notice from the Department of Labor.
The company in which you have expressed employment interest is equal opportunity employer that evaluate qualified applicants without regard to race, color, national origin, religion, ancestry, sex (including pregnancy, childbirth and related medical conditions), age, marital status, disability, veteran status, citizenship status, sexual orientation, gender identity or expression, and other characteristics protected by law.

**Job Description**
**Job Summary**
The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems.
**Knowledge/Skills/Abilities**
+ Facilitates the resolution of claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems.
+ This role is involved in member enrollment, provider information management, benefits configuration and/or claims processing.
+ Responds to incoming calls from providers regarding claims inquiries and provides excellent customer service; documents calls and interactions.
+ Assists in the reviews of state or federal complaints related to claims.
+ Supports the other team members with several internal departments to determine appropriate resolution of issues.
+ Researches tracers, adjustments, and re-submissions of claims.
+ Adjudicates or re-adjudicates high volume of claims in a timely manner to ensure compliance to departmental turn-around time and quality standards.
+ Manages defect reduction by supporting the identifying and communicating error issues and potential solutions to management.
+ Handles special projects as assigned.
+ Other duties as assigned.
Knowledgeable in systems utilized:
+ QNXT
+ Pega
+ Verint
+ Kronos
+ Microsoft Teams
+ Video Conferencing
+ Others as required by line of business or state
**Job Function**
Provides customer support and stellar service to assist Molina providers with claims inquiries. Leads and resolves issues and addresses needs appropriately and effectively, while demonstrating Molina values in their actions. Responsible for effectively managing and documenting calls and responding to providers regarding issues with claims and inquiries. Handles escalated inquiries, complex provider claims payments, records, and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators.
**Job Qualifications**
**REQUIRED EDUCATION:**
Associate's Degree or equivalent combination of education and experience;
**REQUIRED EXPERIENCE:**
2-3 years customer service, claims, provider and investigation/research experience. Outcome focused and knowledge of multiple systems.
1+ years of claims research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry
**PREFERRED EDUCATION:**
Bachelor's Degree or equivalent combination of education and experience
**PREFERRED EXPERIENCE:**
4 years customer service, claims, provider and investigation/research experience.
LTSS claims experience
**PHYSICAL DEMANDS:**
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in a home or office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $38.37 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies.
IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs.
We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) contract **Pharmacy Support Call Center Representative** to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The **Pharmacy Support Call Center Representative** is primarily responsible for fielding requests such as: card activation, program eligibility, explanation of program benefit and explanation/troubleshooting of submission rejection.
**Role Purpose:**
+ Primary Call Center contact for patients, pharmacies and medical professionals utilizing an Opus Health program. Call Center Representatives are responsible for fielding requests such as: card activation, program eligibility, explanation of program benefit and explanation/troubleshooting of submission rejection.
**Job Responsibilities:**
+ Provide initial support for customer requests via telephone, email, fax, or other available means of contact to the Support Center
+ Quickly assess the user's issue and provides first level support for problem resolution
+ Document information specific to the resolution and escalate unresolved issues expeditiously to the appropriate area
+ Recognize operational challenges and suggest recommendations to management, as necessary
+ Ability to work 40 hours per week (shifts available: 8:00 am - 5:00 pm EST or, 9:00 am - 6:00 pm EST or, 10:00 am - 7:00 pm ET or, 11:00 am EST - 8:00pm EST) under moderate supervision
**Minimum Education & Experience:**
+ High School Diploma or equivalent
+ Pharmacy Technician experience required
+ HIPAA certified
+ Call center experience required (3+ years preferred)
+ Experience in medical claim processing is a plus
+ Bi-lingual (English/Spanish) is a plus
**The pay range for this role is $18.00 per hour.**
**IQVIA** is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.
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#LI-Remote
#LI-DNP
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. potential base pay range for this role is $18.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create connections that accelerate the development and commercialization of innovative medical treatments. Everything we do is part of a journey to improve patient outcomes and population health worldwide.
To get there, we seek out diverse talent with curious minds and a relentless commitment to innovation and impact. No matter your role, everyone at IQVIA contributes to our shared goal of helping customers improve the lives of patients everywhere. Thank you for your interest in growing your career with us.
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