Job Description

  • Interpret contract benefits accurately to policyholder, agents, and providers with a positive and professional approach.
  • Provide claim status to policyholders or providers with a positive and professional approach.
  • Answer calls as required by company policy in a helpful, professional, timely manner.
  • Place outgoing calls as needed to provide or obtain information.
  • Document (written/on-line) all calls while in progress.
  • Transfer calls to employees in other departments as required to meet customer needs.
  • Fully document policy file or imaging system with all related material so as to leave a clear and concise audit trail.
  • Actively participate in cross training and group training sessions to maximize team efficiency and maintain or exceed service standards.
  • Communicate openly with Supervisor, Team Lead and other team members to ensure accurate responses and avoid duplication of efforts.

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