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Western Growers Family of Companies
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  • DescriptionIf you're looking for a career that provides affordable hea... Read More
    Description

    If you're looking for a career that provides affordable health benefit solutions to the people who support some of the most vital industries, we're looking for you.

    At Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full-suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management. As part of the Western Growers Family of Companies, we are committed to providing our employees with everything they need to succeed and grow. We know that taking care of our clients starts with taking care of our employees.

    As a keystone of our philosophy, we recognize that every person on our team comes to us with a unique background, history and story that adds strength to our organization. Additionally, employees are encouraged to recognize that there isn't a work life and a home life, there is one life. This recognition throughout the organization emphasizes the value of finding a healthy and happy balance in every employee's life. One way this is realized for employees of Pinnacle Claims Management is flexible work arrangements with work-from-home, in-office or hybrid options.

    With competitive compensation packages, premier investment support, enriching personal development and more, we strive for our employees' job satisfaction and success.

    Compensation: $38,625.60- $48,750 with a rich benefits package that includes profit-sharing.

    Job Description Summary

    Position reports directly to the Supervisor, Pinnacle Small Business Call Center (CCSB). This position provides consultative telephonic and web-based assistance to Agents, Certified Enrollment Counselors, Qualified Health Plans (QHP), federal and state agencies and other stakeholders in Health Benefit Exchange administration. The incumbent will provide customer service support to clients by instructing them on correct eligibility management procedures and troubleshoot application issues and concerns.

    Qualifications

    High School diploma or GED and one (1) to three (3) years of experience in customer service within a call center environment, preferably within a technical support role.

    Experience in the healthcare industry especially with a health benefits company or a federal, state benefit program a plus.

    Knowledge of Health Benefits Exchange (HBEX), eligibility requirements and the application and enrollment processes preferred.

    Strong written and verbal communication skills. including a very clear and concise speaking voice, and active listening.

    Demonstrated skills in time management and team building.

    Strong ability to research and resolve technical issues and/or client problems as they arise with minimal direction.

    Knowledge of government regulations, federal, state, and local health benefit programs preferred.

    Ability to retain and apply knowledge of the various operations of the organization, products, and services, in order to provide excellent customer service support

    Ability to learn new software and navigate multiple systems at once. Must have strong knowledge of Customer Relationship Management (CRM) software.

    Ability to adapt to a constantly changing environment.

    Basic computer experience and keyboarding skills.

    Bilingual in Spanish, Chinese, Korean, and Vietnamese is a plus.

    Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.

    Home router with wired Ethernet (wireless connections and hotspots are not permitted).

    A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)

    A functioning smoke detector, fire extinguisher, and first aid kit on site.

    Duties And Responsibilities

    Customer Advocate

    Foster and build working relationships with Agents, Certified Enrollment Counselors, federal and state agency contacts.

    Must become the subject matter expert for PCMI, State Provided Programs and HealthCare.Gov.

    Serve as a representative of the Agent by displaying professionalism, knowledge, and discretion in all interactions with other members of the Agent's community and their customers.

    Adhere to the call center Quality Guidelines to ensure the best phone support to our callers.

    Call Center Support

    Be a key contributor to meeting our contractual obligations to PCMI.

    Meet and maintain all of the department service metrics and performance objectives.

    Thoroughly document information, activities and changes in the database and inquiry outcomes for accurate tracking and analysis.

    Provide telephonic and web-based outreach to provide informational support to assist with all aspects of the application process within the Covered California systems from sign up to termination.

    Identify, initiate, and implement at least one process improvement and/or innovation annually.

    Other

    Utilize all capabilities to satisfy one mission - to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, be self-accountable, create a positive impact, and be diligent in delivering results.

    Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet.

    Maintain a HIPAA-compliant workstation and utilize appropriate security techniques to ensure HIPAA-required protection of all confidential/protected client data.

    Maintain and service safety equipment (e.g., smoke detector, fire extinguisher, first aid kit).

    All other duties as assigned

    Physical Demands/Work Environment

    The physical demands and work environment described here represent those that an employee must meet to successfully perform this job's essential functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate.

    #LI-Remote #LI-CallCenter Read Less
  • DescriptionYou spend more than half of your waking hours working. Make... Read More
    Description

    You spend more than half of your waking hours working. Make these precious, fleeting moments matter by working for an organization and a cause you can believe in.

    Western Growers exists for one reason only: to ensure the future viability of its members - the hard-working, salt-of-the-earth farmers who grow the fruits, vegetables and tree nuts that feed our nation and nourish our bodies.

    Our members depend on us to help them remain competitive and profitable as they face challenges that make it increasingly difficult and expensive to do business. Our goal is to fight for them- heart and soul -every single day. We passionately advocate, facilitate technological advancements and provide insurance for our members. We do all of this, and more, from a position of leadership in the agriculture industry. This mission requires a team of intelligent, inquisitive and innovative individuals connected for our common purpose.

    The core company philosophy that strengthens our mission is that everything starts with people. Every employee of the organization has access to research-based training to encourage and support Outward Inclusion philosophy and our DEI initiatives. As an element of this training, employees are encouraged to recognize that there isn't a work life and a home life, there is one life. This recognition throughout the organization emphasizes the value of finding a healthy and happy balance in every employee's life. One way that is realized for employees of Western Growers is flexible work arrangements with work-from-home, in-office or hybrid options.

    At Western Growers, we recognize and welcome the many qualities you can bring to the team.

    Grow with us.

    Compensation: $70,304.00 - $80, 234.24 Annually with a rich benefits package that includes profit-sharing.

    Location: Hybrid (3-4 days per week) in Irvine, CA office.
    Job Description Summary

    A high-level position that provides executive administrative support for the Chief Operating Officer of a multiple employer welfare arrangement (MEWA) health plan and its affiliated business lines. The Executive Assistant will consistently interface with the Chief Operating Officer's direct reports. This position serves as the first point of contact for the Executive on matters relating to the administration of various operational areas including assistance in managing incoming inquiries including scheduling, email filtering, time management, the management of projects and initiatives, and associated executive administrative duties ensuring all internal and external customers' needs are met. This position will liaise and maintain strong, effective communication with external and internal members and various organizations.
    Qualifications
    Bachelor's degree (BA/BS) in business, communications, or a related field and/or a minimum of six (6) to eight (8) year's experience in executive-level administration in a mid to large-sized operation preferred. Prior experience in the health benefits arena is highly desired.Exceptional written and verbal communication skills.Strong ability to multitask, prioritize (equally competing demands), organize resources, set expectations, and meet deadlines under pressure.Advanced computer literacy, including MS Office Suite.Highly skilled at responding to requests expeditiously throughout the day, as required.Certification(s) in project management or equivalent work experience, preferred.Demonstrated ability to maintain and monitor projects, work hours, budgets, and expenditures.Ability to problem-solve, perform quantitative and qualitative research and possess quality analytical skills.Experienced in thinking critically, self-starting projects/tasks, and working independently in a cross-functional team environment.Duties And Responsibilities

    Administrative
    Manage the Executive's complex calendaring and e-mail needs. This requires scheduling meetings, preparing the necessary meeting agendas, materials and minutes as well as coordinating with internal and external clients. Maintain contact information on behalf of Executive including Board of Trustees and Executive Committee members. Ensure all meeting materials, presentations and any pertinent information are submitted to Executive in advance of meetings for his review and comment.Draft, formulate, and enhance communications on behalf of the Chief Operating Officer. Prepare Executives expense report for their review and approval as well as reviews expenses of direct reports.Create ad-hoc reports for Executive and department management as needed. Assist Executive, his direct management reports and line staff in the documentation of programs and processes.Support company request for proposals (RFP) for perspective company bids. This includes locating new potential vendors to streamline company processes. Manage, prepare and reconcile expense reports for submission to accounting using the Commercial Expense Reporting (CCER) online system and check requests.Order supplies for the department ensuring conference room(s) are clean and stocked with the necessary food and beverages for both internal and external customers.
    Event Coordination & Support
    Coordinate, plan and execute two (2) or three (3) WGAT Board of Trustees meetings per fiscal year, including presentation development. Assist with the presentation development of four (4) Executive Committee meetings a fiscal year. Coordinate, plan and execute two (2) to three (3) divisional meetings (WG Health and PCMI employee meetings) a fiscal year, including presentation development.Assist in the planning and execution of Strategic Planning Meetings. Assists in the coordination of industry-related events and helps identify opportunities to promote the company's brand and presence in the marketRecord, review, and maintain Board meeting minutes.
    Project Facilitation & Reporting
    Using the latest technology related to Artificial Intelligence (AI) software apply new knowledge to the job.Process Information by compiling, categorizing, and verifying information or data pertinent to the Executive.Document and record information by entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.Participate in project teams to assist in the development, management, and implementation of company initiatives. Manage projects including planning, execution, status reporting and risk managementCoordinate internal and external resource meetings to develop project scopes, objectives, feasibility and timelines.Track progress and review project tasks to make certain milestones are being met appropriately. Support in the creation of documentation, templates and reports. Analyze data to address operational challenges. Provide regular project status reports to management and report any schedule variances.
    Other
    Utilize all capabilities to satisfy one mission - to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning and executing work in a helpful and collaborative manner, being willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating positive impact, and being diligent in delivering results.All other duties as assigned. Physical Demands/Work Environment

    The physical demands and work environment described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to travel to both indoor and outdoor areas that can vary in exposure and temperature. The employee is frequently required to operate a motor vehicle, use objects, tools, or controls, and/or required to lift up to 50lbs. The noise level in the work environment is usually moderate. Read Less

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Astrid-Lindgren-Weg 12 38229 Salzgitter Germany