Health Claims Customer Service Representative

3 weeks ago


Le Mans, Pays de la Loire, United States Ideal Staffing Inc Full time

Job Title: Health Claims Customer Service Representative

Job Summary: Ideal Staffing Inc is seeking an experienced Health Claims Customer Service Representative to work with members and providers in a prompt, accurate and courteous manner to answer questions, provide health claims status, eligibility and resolve issues as reported.

Key Responsibilities:

  • Answering customer service call center line.
  • Documenting details in a call log for every inbound and outbound call.
  • Distribution of inbound faxes, keeping a record of receipt of forwarded faxes.
  • Documenting details of call center voicemails on scheduled days.
  • Return calls and provide claims status as assigned.
  • Scanning all documentation daily into specified electronic file.
  • Maintaining knowledge of current plan year policies and provisions.
  • Maintaining professional demeanor both in person and over the phone.
  • Performing any other duties as required or assigned.
  • Reporting status of ongoing tasks to Customer Service Supervisor.
  • Adhering to quality standards and confidentiality policies and procedures.
  • Supporting help for other staff as needed.

Requirements:

  • High school diploma or GED.
  • Two (2) years of related call center experience, including but not limited to customer service, front desk or receptionist. Medical insurance knowledge required.
  • Proficient in Microsoft Office, excellent customer service skills, excellent business etiquette.


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