Customer Service Representative

Description

Answer incoming phone calls from members covered by our client company health benefit plans and identify the type of assistance the customer needs

Make outbound calls to members about their claims

Investigate requests and problems, with some assistance from others

Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems

Intervene with care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed

Assist and educate providers about the client benefit plan, including contracting opportunities with our company on behalf of the client