Health Insurance Phone Interviewer - Pharmacy Tech experience a PLUS
About The Position
About Insurance Administrative Solutions 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. Job Summary This role involves conducting interviews for Medicare Supplement insurance applicants in a manner that is professional, patient, honest, confidential, and efficient. The ideal candidate should have knowledge of prescription drugs and treated conditions, with a preference for those with a background as Pharmacy Technicians. Experience in customer service, insurance, and medical terminology is needed, along with a detail-oriented mindset and the ability to thrive in a fast-paced environment. Please note that this is not a remote position and candidates must be local at this time. Primary Responsibilities: Must be able to work your scheduled shift and if needed, rotate schedules with other employees for proper departmental staffing needs and /or Work Overtime if needed.
Requirements
- High School Diploma/GED with one (1) year experience
- Language skills: ability to read and interpret documents such as procedure manuals and written handouts.
- Reasoning ability: need to apply common sense to carry out written and/or verbal instructions. Must be able to deal with problems containing multiple variables.
- Honesty, as well as respect, for the company and its policies & procedures is crucial.
Nice To Haves
- Pharmacy background is preferred.
Responsibilities
- Responsible for conducting phone interviews on both outbound and inbound telephone calls.
- Must be detailed oriented and possess good verbal/written/typed communication skills.
- Must be able to work in a work environment where procedures change frequently.
- Must have a medical background with an emphasis on prescription drug information.
- Must be able to work independently and efficiently to meet contractual time service agreements.
- Verify all necessary information from the application over the phone with an applicant
- Follow a telephone script, which matches the questions on the application.
- Information obtained during the phone interview process is collected on the phone script form or application and is used in the UW process.
- When appropriate, use supplemental questionnaires for medical conditions and certain medications to obtain detailed information about the condition/medication in question.
- Carefully listen to the applicant’s responses to ensure the accuracy of the information gathered. Concentration is essential. The Underwriter’s decision to approve or decline an application is based on information gathered in the PHI.
- Must be able to identify and request any outstanding underwriting requirements in order to complete the processing of an application.
- Entering completed interviews and underwriting requirements in the admin system.
- Must be able to determine if an applicant meets the underwriting guidelines set forth by our clients.
- Comfortable working in a face paced environment while demonstrating critical and analytical thinking capabilities.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
