Call Center Customer Service

November 4, 2020
Philadelphia, PA
Job Type


The World’s leading Healthcare Insurance Company is looking for Call Center Customer Service Representatives to join their team!

Job Description:
As a Healthcare Customer Service Representative, you will handle benefit, eligibility, and claims inquiries via telephone, internet or written correspondence. Fundamental responsibilities of this role include, but are not limited to:
• Answer questions and resolve issues based on phone calls/letters from members, providers, and plan sponsors
• Triage work to appropriate staff/business areas as needed
• Document interactions with members, providers or etc. to track contact reasons and trending
• Ability to adhere to corporate policies/procedures; remain current on industry data
• Perform a thorough review of claims history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible
• Use applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received
• Deliver world class service at all times to both internal and external customers.

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