The Healthcare Customer Service Representative will support multiple lines for benefit interpretation, claims, authorizations and membership inquiries.
Receives telephone inquiries from Members, Agents, Providers, Legal Counsel and Employer Administrators.
Keeps current knowledge of Certificates of Coverages, Riders, Summary of Member Responsibility Tables, Prescription Benefit Summary of Member Responsibility Tables.
Follow up with coordination of benefits and student status updates, etc.
Identify, initiate, participate and sustain LEAN process improvement activities where needed.
2 years or more experience in the insurance industry, customer service experience