Responded to telephone inquiries from members, hospitals, doctors, and providers concerning joining the plan, completing forms, and submitting claims Answered questions, explained benefits and verified coverage, utilized communication skills to assist, reassured and diffused callers so issues could be handled. Answered questions regarding COB and Medicare line of determination .Completed telephone records, supplied all requested information and any additional information necessary to resolve problems Inbound calls from providers and members requesting medical claim status, benefits and eligibility information .Emailed, mailed or faxed EOB’s . I learned how to patiently deal with the patients and provider's when claim was denied and how to resubmit claim to be paid. workplace was independent based. The hardest part of the job was getting the claims paid. The most enjoyable part of the job was getting the claim paid.