Customer Service Representative PRN
Hybrid
Core
Inbound and outbound call center representative assisting members, providers, and employer groups with health plan benefits, claims, billing, and eligibility.
Role type
Customer Service Representative
Builds
Customer support interactions via phone, chat, email, and face-to-face
Domain
Healthcare / Health Insurance
Deliverable
client delivery
Required skills
Customer service, Claims resolution, Benefit administration, Data entry, Communication, Problem-solving
Responsibilities
Answering inbound calls to resolve service inquiries, Facilitating claims resolution through follow-up, Assisting members with enrollment and coverage questions, Documenting service interactions in systems, Escalating complex complaints to appropriate departments