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Medicare Claim Representative
3 months ago
OneSparQ is looking for a Customer Service Representative for a health and life insurance provider in Brookhaven, GA.
Required Skills:
- 1+ years of experience within Medicare Claims adjudication
- 1+ years of experience working in a call center environment with a one call mindest
- Proficiency with Microsoft Suite of products
Additional Skills:
- Experience with Claims Adjudication and EOB
- Familiarity with the Medicare Supplement Process
Responsibilities:
- Handle inbound calls from customers regarding health insurance claims
- Provide accurate information about claim status, policy coverage, and benefits
- Assist customers in filing health insurance claims and guide them through the process
- Document all customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken
- Coordinate with the claims department to resolve customer issues
- Maintain customer confidentiality and adhere to health privacy regulations
- Participate in training sessions to stay updated with the latest industry regulations and practices
