Service Center Representative

Job Summary

A company is looking for a Service Center Representative to manage daily claims and serve as a technical expert in health benefits.

Key Responsibilities

• Process medical claims and communicate with providers regarding the claims process
• Educate customers on documentation, time frames, payment information, and claim status
• Direct customer calls to appropriate contacts and escalate issues as needed

Required Qualifications

• High School diploma or GED required; college courses preferred
• One year of customer service and claims experience or equivalent education and experience
• Knowledge of medical terminology and claims management
• Inbound call center experience preferred
• Spanish speaking is a plus, but not mandatory