Pros: helping members understand their benefits better.
Cons: not feeling appreciated
In a typical work day I talk to anywhere from 30-60 members. I go over claims, benefits, and in general health questions. I may need to reach out to hospitals, Labs, or Physicians to get corrected information regarding claims, or to get resolution on amounts being billed to the members. I am able to process any claims real time that need to be processed/reprocessed. My management has been great, they seem to always be there when you need them. They are quick in ensure that you have the information you need, and if they aren't aware of the answers, they will get you with someone that does. I would have to say one of the hardest parts of my job is dealing with members that are dying, or have a family member that is dying or just past away. I make sure I take my time with all my members, but with these cases I am extra sensitive for them, and try to go above and beyond to make sure they don't need to continue to callback with the same questions. The most enjoyable part of the job is when a member says how great you were, and that you have answered all of their questions. I love to help people, even in difficult times.