Responsible to respond to inbound inquiries from Providers and Members on Eligibility & Benefits (medical and behavior health), Claims inquiry, Provider Pre-authorization, etc.
Answer calls coming from potential and enrolled members of a US healthcare insurance company. These calls are mainly on customer service – asking for information, requesting for help, following up on previous concern, exploring new plans, cancelling existing plans, filing for appeals and/or grievances
Must be willing to work within US office hours (EST to PST) in shifting schedules
Must be willing to work on site (Gagfa Building)
Must be willing to work on select weekends and holidays as required by the business
Computer literacy (MS Office)
Trainable (experience in customer service an advantage)
Good communication skills (voice and accent)
Basic mathematical ability
Good analytical skills
Typing speed at 30 wpm with 90% accuracy