Medical Insurance Customer Service Representative
Job Description
Job Description
We are currently recruiting for a Medical Insurance Customer Service Representative for a local call center. The representative is responsible for assisting members and clients with service inquiries, claim status and interpretation of plan descriptions and plan documents via the telephone. This position is first shift. Prefer to have someone with prior healthcare insurance experience such as medical, dental and vision claim experience.
Customer Service Functions:
· Develop and strengthen relationships with members and clients through phone contact and call resolution.
· Service up to 100 calls per day.
· Provide benefits, status and claim inquiry to callers.
· Effectively utilize all customer service tools available.
· Take an active role in claims and customer service meetings.
· Medical/HRA/HSA/Dental/Vision/Flex/STD self-insured knowledge is essential
· Benefit interpretation knowledge of a Summary Plan Description and a Plan Document.
· Support the Operations Service team as it relates to mutual goals of the company.
Administrative Duties:
· Complete all requested inquiries of the Claims/Customer Service Area.
· Assist Account Managers with client service inquiries, when applicable.
· Other duties as assigned.
Qualifications Required
· Demonstrated excellent communication skills, both verbal and written.
· Preferably 1-2years’ experience in the healthcare/insurance field with preferred knowledge of medical insurance terminology
· Professional phone voice and superior attitude is required.
· Excellent attendance record
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