Customer Care Representative II/III
Core
Responds to inquiries from policyholders and providers regarding insurance claims and policies via mail, telephone, or in person; performs research to interpret policy provisions.
Role type
Senior Customer Care Representative (Insurance Claims)
Builds
Insurance claims resolution and policy information support for members and providers
Domain
Health Insurance / Customer Service
Deliverable
client delivery
Required skills
Policy interpretation, claims research, multi-tasking, computer application navigation, oral communication, written communication, problem-solving
Preferred skills
Empathy, creative solution finding, flexibility, quick learning, strong work ethic
Technologies
Multiple computer applications, automated customer service environment
Responsibilities
Respond to inquiries from policyholders and providers for information and assistance; Perform research to respond to inquiries and interpret policy provisions; Conduct outbound calls in the ZipDrug business area
Seniority
Mid-level, Non-Management Non-Exempt