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Customer Service Representative
4 weeks ago
TEKsystems is hiring 100% Remote Call Center Representatives to work with a large Insurance Corporation
Hours of Operation: Monday - Friday 8am - 7pm EST
Location: Fully Remote (must be located in: Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, or Wisconsin)
Job Summary:
Customer Care Specialist answers inquiries from providers and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems. This position establishes and maintains rapport with contacts and present a favorable corporate image while responding to inquiries within time frames required to exceed contractual standards.
Will be exclusively handling provider calls
These calls will revolve around the status of claims, submitting claims, or following up on rejected claims.
Obtain and analyze claims data to determine specific problem area including external communication to obtain data.
Complete research and provide final resolution to inquiries within contractual requirements.
Additional Skills & Qualifications:
MUST HAVES: 2+ years of call center customer service experience or 1+ year of healthcare experience
must be able to work remotely in a quiet work space with no distractions
High School Diploma or GED NEEDED
About TEKsystems:We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
