Key Responsibilities
- Maintain knowledge of basic plan provisions, benefit schedules, and systems.
- Provide prompt and accurate responses to inquiries via phone, email, and in-person, addressing questions, explaining claims, quoting self-payment amounts, verifying eligibility/benefits, and resolving issues.
- Document all interactions in the Customer Service module.
- Perform clerical tasks such as processing enrollment forms, working spouse forms, special fund claims, and disability claims.
- Accurately navigate and share information about company website.
- Monitor and manage incoming calls using the call management system.
- Retrieve and respond to messages.
- Perform additional duties as needed.
Required and Preferred Qualifications
- 1+ years of experience in a call center environment, preferably in medical billing or insurance claims processing.
- Bilingual candidates are strongly preferred.
- Bachelor's degree or equivalent experience is required.