Note: The job is a remote job and is open to candidates in USA. Maximus is currently hiring for Customer Service Representatives to join their New York State of Health team. The role involves providing customer care to New Yorkers navigating complex healthcare plans, requiring strong communication skills and the ability to handle various inquiries.
Responsibilities
- Answer incoming calls from consumers including the general public, prospective enrollees and people assisting enrollees or acting on their behalf in accordance with all performance standards, policy and procedures, and protocols including but not limited to the confidentiality and privacy policies
- Respond effectively to all forms of inbound and outbound contacts
- Track and document all inquiries using the applicable systems
- Transfer/refer consumers to appropriate entities according to the established guidelines
- Facilitate the fulfillment of caller requests for materials via mail, email, or download
- Facilitate translation services for non-English speaking callers according to procedures
- Escalate calls or issues to the appropriate designated staff for resolution as needed
- Attend meetings and trainings as requested and maintain up-to-date knowledge of all programs and systems
- Process new applications for health care coverage via telephone including building tax household, household income, eligibility determinations, interpreting determinations made by the Marketplace, and enrollment into health plans
- Process life event changes, demographic updates, disenrollment requests, and special enrollment periods as requested
- Respond to all inquiries consistent with confidentiality and privacy policies and refer callers to alternate sources when appropriate
- Meet Quality Assurance (QA) and other key performance metrics
- Responsible for adhering to established safety standards
- Must be able to remain in a stationary position for an extended period of time
- Occasionally lift, carry, or otherwise move items weighing up to 25 pounds
- Work is constantly performed in an office environment
- Perform other duties as assigned by management
Skills
- High school diploma or GED required and 6+ months of relevant professional experience required, or equivalent combination of education and experience
- Residency within 100 miles of Rochester, NY is required
- Strong data entry and telephone skills
- Excellent organizational, interpersonal, written, and verbal communication skills
- Ability to perform comfortably in a fast-paced work environment
- Ability to successfully execute many complex tasks simultaneously
- Ability to work as a team member, as well as independently
- Must currently and permanently reside in the Continental US
- Previous experience with computers, phone systems, and headsets preferred
- Previous experience in customer service preferred
Benefits
- Competitive Compensation - Quarterly bonuses based on performance included!
- Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- Paid Time Off Package - Enjoy PTO, Holidays, and sick leave, along with Short and Long Term Disability coverage.
- Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- Tuition Reimbursement - Invest in your ongoing education and development.
- Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- Professional Development Opportunities- Participate in training programs, workshops, and conferences.
Company Overview
Providing government technology services, digitally enabled customer experiences, and clinical health services that change lives. It was founded in 1975, and is headquartered in Mclean, Virginia, USA, with a workforce of 10001+ employees. Its website is http://www.maximus.com/.Company H1B Sponsorship
Maximus has a track record of offering H1B sponsorships, with 39 in 2025, 39 in 2024, 50 in 2023, 42 in 2022, 36 in 2021, 42 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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