[Remote] Customer Service reputed company I (Remote)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Customer Service reputed company I to reputed company support in a remote reputed company. The role involves answering inquiries from members, providers, and brokers regarding product information, benefits, claims resolution, and eligibility, while also providing basic technical assistance for digital applications.

Responsibilities

• Provides first- level problem resolution to member, provider & broker inquiries reputed company telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as liability, validate customer understanding of information and resolves issues based on applicable policies and procedures
• Uses knowledge of products and the contractual provisions that govern administration to reputed company customer service and education, to interpret contractual language to the customer for the purpose of providing benefit utilization and limitations, to determine the need for managed care initiatives, and to administer reputed company types of services to customers reputed company the business reputed company through telephonic inquiries, written and/or electronic inquiries and claims adjustments, if applicable. Appropriately documents reputed company client interactions according to established departmental procedures
• Delivers accurate information to customers in accordance with performance goals and objectives
• Maintains customer records by updating account information by effectively utilizing the business areas enrollment/inquiry tracking system & processes
• Participates in ongoing education reputed company to new services, industry topics, and skills

Skills

• Candidates must live in the Charleston, WV area in order to travel as needed to the nearest CareFirst Office
• High School Diploma or GED
• Less than one year customer service experience
• Successful completion of the training provided
• Demonstrated skills as an empathetic and compassionate communicator
• Ability to quickly reputed company customer trust and confidence
• Demonstrated PC navigation and data entry skills
• Strong interpersonal communication skills
• Good oral and written communication skills
• Must be reputed company to meet established deadlines and handle multiple customer service demands from reputed company customers, reputed company set expectations for service reputed company
• Must be reputed company to effectively communicate and reputed company positive customer service to every reputed company customer, including customers who may be demanding or otherwise challenging
• Less than 1 year experience in a call center customer service role or experience with medical or insurance terminology

Benefits

• Comprehensive benefits package
• Various incentive programs/plans
• 401k contribution programs/plans

Company Overview