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We want you to be part of our team at ADI. We are an equal opportunity employer and always looking for positive, energetic and customer-focused individuals.

Current Openings:

Job Title: Member Services Representative
Department: Member Services
Reports to: Member Services Manager, Assistant Manager, and Lead Representatives
Location: Coral Gables, FL
FLSA Status: Non-Exempt

SUMMARY:
This position is responsible for, but not limited to, the primary point person for all ADI/ADI Health & Wellness incoming/outgoing member, provider, employer group, or agent calls, inquiries and verifications.

ESSENTIAL DUTIES AND RESPONSIBILITES:

  • Professionally, respectfully and courteously handle all in-bound and out-bound member, provider, employer group, and agent-related calls.
  • Attend mandatory training sessions to improve product knowledge, quality of service and departmental changes and improvements.
  • Provide eligibility to network via telephone and or by fax.
  • Fulfill member requests for materials such as provider and benefit information, including Member Handbook and ID card requests.
  • Assist members/providers quickly and professionally regarding urgent dental care.
  • Fulfill eligibility requirement, escalating verification to supervisor for processing.
  • Identify and escalate member issues needing additional resolution to Management.
  • Document undeliverable materials and process for re-mailing.
  • Additional departmental projects that may be assigned, for example: Tooth Fairy requests and Member Outreach calls.
  • Assist in the training of new employees.

QUALIFICATIONS:
To perform successfully in this role an individual must possess, at a minimum, the following skills and abilities.

  • Type 30 WPM
  • Be proficient in Word and Excel.
  • Be self-motivated, directed and disciplined.
  • Be a team player; work well with others in a team environment.
  • Possess strong verbal and written communication skills.
  • Have the ability to represent the company in a positive and professional manner.

EDUCATION and/or EXPERIENCE
Minimum of one year experience in telemarketing (Inbound/Outbound) preferably in the health care or dental insurance fields.

CERTIFICATES, LICENSES, REGISTRATION
None

SUPERVISORY RESPONSIBILITIES:
None

PHYSICAL DEMANDS:
The physical demands described here are represented of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

While performing the duties of this job, the employee is required to use hands and fingers, to feel; reach with hands and arms; and talk and hear. The employee is frequently required to stand, walk, and sit.  Specific vision abilities required by this job include close vision, distance vision, and ability to focus.  The employee must have reliable transportation to be able to commute to community events, meetings, and trainings, as necessary.  Employee may be required to travel outside of Miami-Dade County.

WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

If you have an interest and meet these requirements, we encourage you to do the following below:

Please send in Word format to HR@adi-dental.com or call our main line: 305-443-3111 or toll free: 877-468-5581.

 

 

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