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Customer Services Representative
Center for Health Care StrategiesCustomer Service Representative addressing insurance company inquiries in a high-pressure call center. Ensuring excellent service and resolving customers' issues efficiently.
About the role
Key responsibilities & impact- Answer incoming calls from guarantors and insurance companies in a high pressure call center
- Research and resolve issues for guarantors, insurance companies and our internal customers.
- Perform necessary account maintenance functions, verify demographics, update guarantor information and fulfill the customer or insurance companies requests.
- Verify and process insurance coverage information, perform insurance adjustments and/or change the insurance filing order as needed.
- Review and analyze balances (credit or debit) to determine if the guarantor or insurance owes additional money or if a refund is due.
- Establish payment plans, set-up recurring payments and transfer guarantor funds as needed to clear any outstanding guarantor balances. Troubleshoot issues with the online payment portal for guarantors.
- If resolution is not possible by the Customer Service Representative, the issue will be escalated as appropriate.
- Perform annual required system upgrade and computer based training
Requirements
What you’ll need- High School Diploma
- 1-3 years experience
Benefits
Comp & perks- Excellent customer service at all times
- Thorough knowledge of insurance payors (Commercial, Government, HMO/PPO and Indemnity) preferred
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Soft Skills
customer serviceproblem solvingcommunicationresearchissue resolutionaccount maintenancepayment processingtroubleshootingescalation management
Certifications
High School Diploma