Handling inbound calls from providers checking eligibility and/or claim status for members. This role operates in a call center environment, taking both inbound and outbound calls. The representative will respond to customer inquiries regarding various products and services via phone or email, ensuring responses are easy to understand. Responsibilities include researching customer inquiries, following up as needed, and troubleshooting basic website errors or questions. The role also involves assisting customers with payments, payment-related questions, policy changes, and explaining coverages and rate changes. The representative will formally respond to correspondence, verbally or in writing, using all necessary reference materials to provide informed responses. They will also request additional or missing information from customers and document client issues, escalating them to the appropriate parties for resolution.
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Career Level
Entry Level
Education Level
No Education Listed