Customer Service Supervisor responsible for call center operations, coaching agents, and ensuring compliance. Leading a team of up to 12 employees and optimizing service delivery operations.
About the role
- Claims Support Specialist managing claims adjustments and recoveries at CareMore Health. Auditing paid claims and coordinating benefits with a focus on customer satisfaction.
Responsibilities
- Responsible for all claims adjustments recoveries
- Audits paid claims for overpayments using various techniques
- Coordination of benefits, Medicare, and medical policies
- Collection activities to ensure recovery of overpayments
- Researches voluntary refunds for accuracy
Requirements
- Requires a H.S. diploma
- 2-4 years of claims processing and/or customer service experience
- Any combination of education and experience, which would provide an equivalent background
- Associate degree or higher level degree preferred
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