This role is responsible for documenting and resolving member inquiries related to insurance processing and benefits via telephone, email, fax, and instant message. The specialist will research, review, and follow up on all contacts to ensure service levels and policies are met. Key duties include authorizing billing adjustments, processing changes to due dates and pay methods, cross-training to handle a variety of inquiries, and using independent judgment for call escalations. The role also involves gathering demographic data, processing limited policy changes, maintaining data security, and fulfilling continuing education requirements. Additionally, the specialist must be prepared to work remotely during business disruptions and possess knowledge of membership processes, benefit programs, and insurance operations.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED