Call Center Customer Service / Healthcare

Confidential
Published
January 14, 2021
Location
Category
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Description

The World’s leading Healthcare Insurance Company is looking for Call Center Customer Service Representatives to join their team!

Job Description:
As a Healthcare Customer Service Representative, you will handle benefit, eligibility, and claims inquiries via telephone, internet or written correspondence. Fundamental responsibilities of this role include, but are not limited to:
• Answer questions and resolve issues based on phone calls/letters from members, providers, and plan sponsors
• Triage work to appropriate staff/business areas as needed
• Document interactions with members, providers or etc. to track contact reasons and trending
• Ability to adhere to corporate policies/procedures; remain current on industry data
• Perform a thorough review of claims history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible
• Use applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received
• Deliver world class service at all times to both internal and external customers.

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