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Customer Service Representative

2 months ago

Draper, United States Apex Systems Full time

Apex Systems is hiring for a Customer Service Representative that is local to Draper, UT. If you are interested, please apply Job details are below.


Job Title: Customer Service Rep

Rate: $19/hour

Location: Draper, Utah - fully onsite role


Key Responsibilities:

  • Handle inbound calls from members regarding their health insurance claims.
  • Follow up with members on claim statuses, required documents, and additional information.
  • Assist members in understanding their health insurance coverage and claim processes.
  • Provide detailed explanations of claims decisions and necessary next steps.
  • Guide members through the process of submitting claims and appeals.
  • Deliver exceptional customer service by actively listening to members' needs and concerns.
  • Address and resolve member inquiries in a timely and professional manner.
  • Ensure members feel supported and informed throughout their claims process.
  • Accurately document all client interactions in the company's CRM system.
  • Prepare and maintain reports on call outcomes and client feedback.
  • Follow up on unresolved issues to ensure they are addressed promptly.
  • Adhere to company policies and procedures, including those related to privacy and confidentiality.


Qualifications:

  • High school diploma or equivalent required; Associate or Bachelor's degree preferred.
  • Previous experience in a call center environment, preferably in the healthcare or insurance industry.
  • Strong customer service skills with the ability to effectively communicate and empathize with callers.
  • Excellent problem-solving skills and attention to detail.
  • Proficiency in using computer systems and navigating multiple software applications simultaneously.
  • Ability to work efficiently in a fast-paced environment and manage multiple tasks effectively.
  • Knowledge of health insurance terminology, claims processing procedures, and regulatory requirements is a plus.
  • Flexibility to work evenings, weekends, and holidays as needed.