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A member calls Aetna complaining about a previous conversation with a different representative. He still needs his issue resolved and wants to talk to a supervisor. What would you be most and least likely to do?

A) Most likely: Apologize for the inconvenience, assure the member that the issue will be addressed promptly, and connect them to a supervisor.
B) Least likely: Dismiss the member's concerns and advise them to contact a different department for resolution.

1 Answer

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Final answer:

To resolve a member's complaint, it is essential to apologize for any inconvenience, address their concerns with reassurance, and promptly connect them with a supervisor. Dismissing their concerns or redirecting them elsewhere without attempting to resolve the issue is the least effective approach. A focus on problem-solving, active listening, and involving a supervisor or HR if necessary can help de-escalate and resolve the situation.

Step-by-step explanation:

When dealing with a member's complaint about a previous interaction with a different representative and the member's request to speak to a supervisor, the approach taken should prioritize customer service and resolution of the issue. Apologizing for the inconvenience and ensuring that you are understanding and addressing the member's concerns promptly can help to de-escalate the situation. It is crucial to remain calm, polite, and professional, providing reassurance that you are there to help and that you will connect them with a supervisor who can further assist with their issue.

On the other hand, dismissing the member's concerns or advising them to contact a different department without first addressing the issue would be the least likely and least effective response. Such an approach can lead to increased frustration and might potentially damage the company's reputation and relationship with its members. Instead, focus on problem-solving and avoiding blame, and use open-ended questions to gain a better understanding of the issue at hand.

If the conflict cannot be resolved at your level, it is appropriate to contact your supervisor or HR department for further assistance. It's important to restate what the member has said to affirm that you are actively listening and to avoid misunderstandings, ultimately working to find an amicable solution to the member's concern.

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