Customer Service Representative

This is a fully remote position, open to applicants in Alabama, +42 more states.

📋 Description

• Investigate, analyze, and make informed decisions necessary for addressing telephone and written inquiries.

• Interpret contract benefits in alignment with claims processing guidelines.

• Report claims processing system issues to the relevant personnel.

• Collect, organize, and utilize information regarding benefits, contract coverage, and policy decisions.

• Maintain professional relationships with policyholders, service providers, agents, attorneys, other insurance carriers, colleagues, management, and support teams.

• Accurately explain contract benefits to policyholders, agents, and providers.

• Provide updates on claim status to policyholders and providers.

• Respond to calls in a courteous, professional, and timely manner.

• Make outgoing calls to gather or provide information.

• Document all calls in progress.

• Transfer calls to other departments to fulfill customer needs.

• Thoroughly document policy files or imaging systems to ensure a clear and concise audit trail.

• Engage in cross-training and group training sessions to enhance team efficiency and maintain or exceed service standards.

• Collaborate with supervisors, team leads, and team members to ensure accurate responses and prevent duplicate efforts.

⛳️ Requirements

• Capability to investigate, analyze, and make decisions essential for addressing telephone and written inquiries.

• Ability to interpret contract benefits in accordance with claims processing guidelines.

• Skill in communicating identified claims processing system issues to the appropriate personnel.

• Proficiency in handling information related to benefits, contract coverage, and policy decisions.

• Ability to maintain professional relationships with policyholders, providers, agents, attorneys, other carriers, colleagues, management, and support teams.

• Willingness to participate in cross-training and group training sessions.

• Ability to communicate openly with supervisors, team leads, and team members.

• Capability to answer calls in accordance with company policy.

• Proficiency in documenting calls and policy files accurately.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and career advancement.

• Supportive work environment fostering teamwork and collaboration.

• Flexible work schedule options.