Customer Care Representative responsible for handling customer service issues regarding benefits and claims. Analyzing inquiries and providing accurate information to callers and internal teams.
Responsibilities
Responds to caller questions via telephone and written correspondence regarding benefits, contracts, eligibility and claims
Analyzes issues and provides information and/or solutions
Obtains and extracts information from computer systems
Documents, information, activities and changes in the database
Thoroughly documents inquiry outcomes for accurate tracking and analysis
Develops and maintains relationships throughout organization
Research and analyze data to address operational challenges and service issues
Provides external and internal customers with requested information.
Receives and places follow-up telephone calls / e-mails to answer questions that are routine in nature.
Uses computerized systems for tracking, information gathering, and troubleshooting
Meets department goals
Requirements
Requires a High School diploma or equivalent
experience in an automated customer service environment preferred
Prior call center or customer service experience within the healthcare industry is highly preferred
Strong knowledge of claims is preferred
Strong verbal and written communication skills are highly preferred
Proficiency in multitasking, navigating multiple computer applications, and efficiently managing tasks while interacting with customers is strongly preferred
Ability to work effectively with multiple systems simultaneously in a fast-paced environment is highly preferred
Excellent organizational and multitasking abilities are strongly preferred
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