Customer Service Representative

Job Summary

A company is looking for a Customer Service Representative to provide support to providers and members regarding insurance-related inquiries.

Key Responsibilities

• Answer incoming calls from providers and members regarding eligibility, claims, and authorizations
• Collaborate with partners to resolve issues related to claims payment and eligibility inquiries
• Create and track Customer Service Incidents to resolve caller issues and meet performance metrics

Required Qualifications

• High School Diploma or GED required
• 1-3 years of customer service experience required
• 1-3 years of experience in the Health Insurance industry preferred
• Claims payor experience preferred but not required