Published: September 18, 2024 – The Customer Care Associate provides professional and timely assistance to callers, and addresses inquiries about member eligibility, benefits, and claim status while maintaining confidentiality. This role involves resolving administrative concerns, guiding providers on claims submissions, and proactively participating in training to enhance service quality. Additionally, the associate handles crisis calls, informs about appeal processes, and contributes to the improvement of Care Center performance.
Tips for Customer Care Associate Skills and Responsibilities on a Resume
1. Customer Care Associate, Greenline Solutions, Austin, TX
Job Summary:
- Handle Emails, Calls, Live Chat and Returns processing (MV Core Customer Care)
- Handle questions on social media networks, Customer Reviews, Recommend a Friend program and any other Customer related programs
- Be empowered to make the correct decisions for customers to make sure Customers feel special at every opportunity giving a WOW factor on every interaction
- Be accountable for all of your actions and follow up on any promise given to the Customer
- Maintain the brand's reputation for excellent Customer Service
- Act as an ambassador for MV being an expert in collections and products, and follow brands TOV
- Liaise with parcel delivery providers both in the UK and internationally to follow up on any tracking questions or delivery issues
- Work on other delegated tasks when necessary and be prepared to assist anyone else within the company if help is asked for
- Make decisions on releasing orders in line with MV fraud rules
- Proactively feedback on web issues directly to the web department, relating to order issues, payment issues and promotional codes
- Achieve all SLA’s with Voice, Live Chat, Email, Social, Team Administration, Customer Reviews
- Comply with the Data Protection Act and PCI Compliance Regulations at all times
Skills on Resume:
- Multichannel Customer Support (Hard Skills)
- Social Media Management (Hard Skills)
- Decision Making (Soft Skills)
- Accountability (Soft Skills)
- Customer Service Excellence (Soft Skills)
- Brand Knowledge (Hard Skills)
- Problem Resolution (Soft Skills)
- Compliance Adherence (Hard Skills)
2. Customer Care Associate, BlueSky Technologies, Portland, OR
Job Summary:
- Provides support in an efficient and structured manner and handles specified tasks to enable the function to operate smoothly
- Participates in the completion of specific tasks as part of a team
- Build genuine connections to help create lifelong customers
- Meet personal quality and productivity targets
- Multi-task and navigate through several in-house and off-the-shelf software programs (i.e Slack, G Suite) to support customer inquiries
- Handle customer inquiries professionally from different digital channels, including Email, Web Chat and Letter, etc.
- Maintain good customer relationships and promote the company’s services
- Liaise with internal departments to ensure proper resolution of customer inquiries
- Address customer feedback/ complaints professionally
- Performs general administrative tasks (filing, presentations, etc.)
Skills on Resume:
- Efficient Task Management (Soft Skills)
- Team Collaboration (Soft Skills)
- Customer Relationship Building (Soft Skills)
- Quality and Productivity Focus (Soft Skills)
- Software Navigation (Hard Skills)
- Multichannel Communication (Hard Skills)
- Cross-Department Liaison (Soft Skills)
- Administrative Support (Hard Skills)
3. Customer Care Associate, SilverWave Communications, Miami, FL
Job Summary:
- Understanding VICI policies and guidelines and being able to articulate this to customers via phone and email.
- Exemplifying consistency, accuracy, courtesy, and professionalism throughout responses and language.
- Knowing VICI products and being able to give customers extensive sizing and styling guidance.
- Answering an excess of 200+ emails and 50+ phone calls daily.
- Organizing and maintaining customer invoices.
- Clearly articulating timelines of preorders and shipping windows to customers.
- Champion the VICI brand – serving as the first point of contact for customers and maintain brand responses, attitude, and professionalism at all times.
- Timely and efficiently resolving conflict when an order issue arises for a customer.
- Supporting and upholding the mission and goals of the Customer Care Department.
- Providing remarkably better customer experiences via phone calls, emails, and live chats
Skills on Resume:
- Policy Articulation (Hard Skills)
- Consistency and Professionalism (Soft Skills)
- Product Knowledge (Hard Skills)
- High Volume Communication (Hard Skills)
- Invoice Management (Hard Skills)
- Timeline Communication (Hard Skills)
- Brand Advocacy (Soft Skills)
- Conflict Resolution (Soft Skills)
4. Customer Care Associate, BrightPath Health, Denver, CO
Job Summary:
- Maintain a customer satisfaction score of 97% or higher per quarter.
- Establish an appropriate human connection with people by meeting customers on their terms and in their style as observed by the supervisor.
- Regularly exceed the expectations of customers and coworkers by going one step beyond addressing their immediate needs.
- Document more than one example of this behavior weekly.
- Use all resources to provide answers and resolutions as quickly as possible.
- Help keep time to first reply during business hours under 35 minutes.
- Pull the weight by fielding plus or minus 10% of the average number of phone calls and tickets handled per associate per quarter.
- Help with trend analysis by correctly categorizing all inquiries as verified by audits conducted by the supervisor.
- Appropriately identify and escalate all urgent customer matters as observed by the supervisor.
- Appropriately utilize the customer success escalation process to communicate all problems customers are encountering as observed by the supervisor.
Skills on Resume:
- Customer Satisfaction Maintenance (Soft Skills)
- Human Connection (Soft Skills)
- Exceeding Expectations (Soft Skills)
- Efficient Resource Utilization (Hard Skills)
- Prompt Response Time (Hard Skills)
- Workload Management (Hard Skills)
- Trend Analysis (Hard Skills)
- Escalation Process (Hard Skills)
5. Customer Care Associate, FreshView Enterprises, Seattle, WA
Job Summary:
- Every week, report to the supervisor the top three feature requests customers are making.
- Make it easy for customers to get the help they need.
- Offer customers products that will enhance their workflow within BombBomb staying within plus or minus 10% of other associates.
- Log in to all customer communication support channels during BombBomb business hours excluding team meetings, approved breaks, and project work.
- Learn, innovate, and grow.
- Establish and achieve “SMART” goals every quarter with the supervisor that yield quantifiable results around sustaining, building, and improving the business.
- Respond to customer inquiries via email and phone in a professional and timely fashion.
- Process customer refunds or credits and withhold seller payments.
- Ensure that outstanding orders are filled in a timely fashion.
- Identify operational areas of improvement and provide feedback on solutions.
Skills on Resume:
- Feature Request Reporting (Hard Skills)
- Customer Assistance (Soft Skills)
- Product Recommendation (Soft Skills)
- Multichannel Support (Hard Skills)
- Continuous Learning (Soft Skills)
- SMART Goal Achievement (Hard Skills)
- Professional Communication (Soft Skills)
- Order Fulfillment (Hard Skills)
6. Customer Care Associate, ClearBridge Systems, Chicago, IL
Job Summary:
- Handles incoming calls from plan members and healthcare providers for the assigned health plans.
- Provides information for questions related to medical, dental, vision, and prescription drug claims based on the benefit descriptions and plan provisions of a variety of group plans.
- Take responsibility for documenting all calls.
- Receives referrals and pre-certification requests from providers as applicable.
- Review referral/pre-certifications for proper benefits and eligibility.
- Enters referrals and pre-certification data into the computer system.
- Review referrals and medical record information as applicable to facilitate the claims department with claims adjudication.
- Researches and documents rejected or erroneous claims and forwards them for correction
- Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities' production problems and/or inefficiencies.
- Assists in the mentoring and training of new staff.
- Assumes full responsibility for self-development and career progression
Skills on Resume:
- Call Handling (Hard Skills)
- Benefit Information (Hard Skills)
- Call Documentation (Hard Skills)
- Referral Management (Hard Skills)
- Data Entry (Hard Skills)
- Claims Research (Hard Skills)
- Process Improvement (Soft Skills)
- Mentoring and Training (Soft Skills)
7. Customer Care Associate, PrimeWave Logistics, San Diego, CA
Job Summary:
- Actively listens and probes callers in a professional and timely manner to determine the purpose of the calls.
- Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.
- Resolves customer Clientinistrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.
- Proactively seeks and participates in ongoing training sessions (formal and informal).
- Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.
- Demonstrates flexibility in areas such as job duties and schedule to aid in better serving members and help Clients achieve its business and productional goals.
- Educates providers on how to submit claims and when/where to submit a treatment plan.
- Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.
- Inform providers and members of the Client's appeal process.
- Leads or participates in activities that help improve Care Center performance, excellence and culture.
- Links or makes routine referrals and triage decisions not requiring clinical judgment.
- Performs necessary follow-up tasks to ensure member or provider needs are completely met.
- Provides information regarding Client's in-network and out-of-network reimbursement rates and states multiple networks to providers.
- Refers to callers requesting provider information to Provider Services regarding the Client's professional provider selection criteria and application process.
- Refers patients/EAP clients to the Client's Care Management team for a provider, EAP affiliate, or Facility.
Skills on Resume:
- Active Listening (Soft Skills)
- Confidential Information Communication (Hard Skills)
- Issue Resolution (Soft Skills)
- Ongoing Training Participation (Soft Skills)
- Patient Information Entry (Hard Skills)
- Schedule Flexibility (Soft Skills)
- Provider Education (Hard Skills)
- Crisis Response (Soft Skills)