Customer Service Rep - Call Center
Company: Frankcrum Staffing
Location: Clearwater
Posted on: May 17, 2024
|
|
Job Description:
Claims Customer Service Representative JOB SUMMARY: Examine,
perform, research and make the decisions necessary to properly
adjudicate telephone and written inquiries. Interpret contract
benefits in accordance with specific claims processing guidelines.
Communicate problems identified relevant to the claims processing
system to the appropriate people. Receive, organize and make daily
use of information regarding benefits, contract coverage, and
policy decisions. Maintain external contacts with policyholders,
providers of service, agents, attorneys and other carriers as well
as internal contacts with peers, management, and other support
areas with a positive and professional approach. ESSENTIAL DUTIES &
RESPONSIBILITIES (other duties may be assigned as necessary):
Interpret contract benefits accurately to policyholder, agents, and
providers with a positive and professional approach. Provide claim
status to policyholders or providers with a positive and
professional approach. Send out refund request letters and
follow-up as necessary. Produce correspondence to customers. Answer
calls as required by company policy in a helpful, professional,
timely manner. Place outgoing calls as needed to provide or obtain
information. Document (written/on-line) all calls while in
progress. Transfer calls to employees in other departments as
required to meet customer needs. Fully document policy file or
imaging system with all related material so as to leave a clear and
concise audit trail. Actively participate in cross training and
group training sessions to maximize team efficiency and maintain or
exceed service standards. Communicate openly with Supervisor, Team
Lead and other team members to ensure accurate responses and avoid
duplication of efforts. EDUCATION/EXPERIENCE: High School Diploma
or GED equivalent Minimum of one (1) year related experience in a
fast paced call center required. Experience in medical/insurance
preferred. Experience with Medicare Supplement preferred.
#talrooclearwater Associated topics: call center associate, call
center specialist, customer care representative, customer service
associate, platform support, representante de servicio al cliente,
service, support, technical support, telephone
Keywords: Frankcrum Staffing, Spring Hill , Customer Service Rep - Call Center, Sales , Clearwater, Florida
Click
here to apply!
|