Answer calls coming from potential and enrolled members of a US healthcare insurance company. These calls are mainly on customer service – providing formation, requesting for help, following up on a previous concern, exploring new plans, cancelling existing plans, filing for appeals and/or grievances.
Minimum roles and responsibilities required are, but not limited to, the following:
Respond to inbound inquiries from providers and members on Eligibility and Benefits (medical and behavioral health), Claims Inquiry , Provider Inquiry pre-authorization following call procedures consistent with client-approved call procedures
Report issues on process, calls, technology in a timely manne
Minimum skills required are, but not limited to, the following:
Good communication skills
Mathematical ability
Good analytical skills
Typing speed of min 30 wpm with 90% accuracy
Amenable to shifting schedules
Amenable to doing voice and non-voice work
Computer literate (MS Programs mainly)
Trainable / has experience in customer service
Good communication skills
Mathematical ability
Good analytical skills
Typing speed of min 30 wpm with 90% accuracy