The Customer Service Representative is responsible for answering benefit and administrative questions related to Choice Administrator's plans and products. This position will answer calls by telephone from employers regarding new hire benefits, billing rates, supplies, and administrative procedures. Position will also assist enrollees and their dependents with any questions related to their PCP, ID cards, Rx problems, address changes, and dependent coverage; will follow up on calls from brokers and respond to calls from providers to confirm eligibility and benefits. The Customer Service Representative will also review and submit appeal request. Position will document all calls in call tracking system.
Knowledge of and experience in the helath care/insurance industry. At least 2 years of customer service experience required. Computer literate and word processing experience. Typing speed of at least 50 wpm. Ability to handle irate customers in a courteous, patient, calm and positive manner while maintaining a high quality and quantity of work. Experience in handling high call volume. Must have excellent verbal and written communication skills. High School Diploma or equivalent.