Customer Service Representative II

Job Summary

A company is looking for a Customer Service Representative II (Adjudication).

Key Responsibilities

• Review, input, and adjudicate claims accurately in compliance with program specifications
• Research and resolve escalated and complex claim issues in a timely manner
• Maintain and document all claimant information and communications in the CRM system

Required Qualifications

• 2+ years of contact center experience preferred
• High school diploma or equivalent required
• Experience with electronic data management between various environments
• Prior experience with PHI or HIPAA preferred
• 2+ years of college preferred