Health Insurance Call Center Representative

Insurance Administrative Solutions-posted 3 months ago
Full-time
Clearwater, FL
251-500 employees
Insurance Carriers and Related Activities
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Insurance Administrative Solutions (IAS) is a third-party provider of comprehensive administrative solutions for our clients in the insurance industry. We offer a business process outsourcing solution that helps insurers optimize administrative workload, bolster their industry expertise, leverage emerging technologies, and streamline operations. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results. Here at IAS, we embrace the fact that great things are only accomplished by working as a team. We believe that all of our employees have valuable input no matter the level. Our highly collaborative team environment offers each of our employees a place where they can excel.

  • 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.
  • 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.
  • Must be local or residing in the nearby area.
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