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Job · Charleston, WV · Full time

Claims/Customer Service Rep

The Health Plan of West Virginia · $772.7M budget · 643 staff · Since 1979

Improves community health and well-being through technology-driven services and professional partnerships.

Before you apply

FY2024 · Form 990Independent: from IRS data, not the org
Pays its leaders
$241K–$691K
12 officers reported
Fine: from the org's Form 990.
Pt VII · Sec A
Budget
$776.3M
spent in FY2024
Fine: from the org's Form 990.
Pt I · Ln 18
Staff
643
employees
Fine: from the org's Form 990.
Pt I · Ln 5–6
Spent on programs
98%
of spending
Looks good: 98% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Surplus or deficit
−<1%
of revenue, FY2024
Concern: revenue was below expenses in the latest filing.
Pt I · Ln 19
Cash reserves
5 mo
of spending, in cash and securities
Looks good: 4.5 months of spending in cash; 3 or more.
Pt X · Ln 1–2 · Pt I · Ln 18
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file
IRS status
501(c)(4)
tax-exempt since 1979
Looks good: listed by the IRS.
IRS BMF
Looks goodFineWorth a lookConcernTap a box for the reason.

About the role

The org's own posting, as written

The CDS Rep is responsible for all aspects of processing payment requests for all Consumer Driven Product lines as well as answering customer telephone calls and inquiries in a prompt and professional manner. Required: High School graduate or equivalent. Motivated and works independently. Detail oriented with good problem solving skills. Ability to prioritize and meet deadlines. Proficient in basic math skills. Proficient in Microsoft Office products. Adaptable to changes. Desired: Two (2) years experience in a call center environment. Familiar with insurance terminology. Knowledge of FSAs, HRAs and/or HSAs.

Requirements

Claims and/or calls workload management. Proficient use of necessary applications to perform various job functions. Establish adequate proficiency in claims and customer service processing systems. Meet requirements on annual performance evaluation. Consistently displays a positive attitude and acceptable attendance. Document calls according to departmental guidelines. Strategic in call de-escalation. Perform additional assigned tasks and complete them in a timely manner.

Equal Opportunity

Employer The Health Plan is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. The Health Plan strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law.

The Health Plan employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment. 8:00am - 5:00pm 40

Read the original listing on workforcenow.adp.com

About The Health Plan of West Virginia

From its Form 990

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