Insurance Customer Service Representative
4 weeks ago
Location (city, state): Rockville, MD
Industry: Health Insurance
Pay: $18-22/hour
About Our Client:
Addison Group is partnering with a leading organization in the health insurance sector to hire experienced Call Center Representatives. This role is a 6-month contract, providing an excellent opportunity to gain experience with a reputable client.
Job Description:
The Call Center Representative will be responsible for delivering outstanding customer service by handling a high volume of calls and inquiries related to health insurance. The role requires a deep understanding of medical insurance processes and the ability to resolve issues efficiently and empathetically.
Key Responsibilities:
- Acquire and maintain knowledge of plan provisions, benefit schedules, eligibility systems, and claim processes.
- Address inquiries via phone, email, and in-person, explaining claim payments, denials, and eligibility with clarity and accuracy.
- Accurately document all interactions in the Customer Service module.
- Execute clerical tasks including processing enrollment forms, disability claims, and special fund claims.
- Guide participants in navigating the client's website and provide relevant information.
- Monitor call queues and manage incoming calls using the call management system.
- Participate in special projects and support other tasks as assigned by management.
- Minimum of 1 year of experience in a medical insurance call center or medical claims processing.
- Bilingual proficiency is highly preferred.
- A Bachelor's degree or equivalent work experience is required.
- Experience with Third-Party Administrators (TPA) or major insurance carriers is a plus.
- Proficiency in Microsoft Office Suite.
- Ability to type at least 40 words per minute.
- Strong communication and problem-solving skills with a positive, adaptable attitude.
- Dependable with consistent attendance and punctuality.
- Duration: 6-month contract
- Schedule: 8am - 5pm, Monday through Friday
- This position requires on-site work.
- Free parking available at the office location
- Opportunity to work with a prominent company in the health insurance industry
- Gain valuable experience and develop professional skills in a dynamic environment
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
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