Customer Service Representative
1 month ago
We are seeking a highly skilled and detail-oriented Insurance Client Support Specialist to join our team at First Insurance Group. As a key member of our customer service team, you will be responsible for providing exceptional support to our clients, ensuring their needs are met and exceeded.
Key Responsibilities- Provide timely and accurate responses to client inquiries via phone, email, and in-person meetings.
- Maintain knowledge of client-specific plans and policies to effectively address benefit-related questions and concerns.
- Investigate and resolve client claims issues, including diagnosis, procedures, and billing.
- Communicate with healthcare providers to obtain medical records and resolve claim issues.
- Assist clients with provider searches, appeals, and prescription benefit issues.
- Log claim issues, service issues, and notes in our system.
- Process online and paper eligibility for clients in a prompt and accurate manner.
- Participate in client employee meetings, answer questions, and provide support as needed.
- Assist with the preparation of presentations, reports, and special projects.
- Maintain current client and carrier contacts listings.
- Assist with renewal and mid-year timelines, reporting, and presentations.
- Maintain client data storage and record keeping.
- Associates degree in a related business field or equivalent experience.
- Health and life insurance license required or willingness to obtain.
- Three years of insurance experience preferred.
- Strong knowledge of computer software applications, including Excel and PowerPoint.
- Excellent interpersonal, verbal, and written communication skills.
- Goal-oriented personality with a high degree of professionalism.
- Excellent organizational and customer service skills.
- Analytical, problem-solving, and critical thinking skills.
- Ability to be proactive and forward-thinking, with flexibility and time management skills.
- Confidentiality and adherence to HIPAA security guidelines.
This role operates in a professional office environment, with a typical interior work setting that does not subject the employee to any hazardous or unpleasant elements.
Physical RequirementsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
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