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Customer Service Executive
International SOSCustomer Service Executive for TRICARE Overseas Program assisting beneficiaries with inquiries, claims, and general information. Providing operational support and ensuring timely, accurate assistance.
About the role
Key responsibilities & impact- Serve as the first point of contact for beneficiaries, providers, and stakeholders
- Respond to inbound and outbound calls and electronic communications
- Provide operational support and guidance to beneficiaries and providers regarding claims processing, enrollments, program benefits, and TRICARE rules
- Resolve problem cases independently or by collaborating with various teams
- Actively promote and educate customers on self-service options
- Ensure adherence to quality, quantity, and compliance standards in all interactions
Requirements
What you’ll need- Worked in a call center environment
- Understand call and email etiquette
- Worked in a health insurance, medical or any related business
- Exposed to administrative work like claims processing, enrollments, billing etc.
- Experience with SAP or Salesforce is a plus or equivalent military experience
- Must be able to work a shift-based position with fixed schedules
- Proficient at typing
- Proficient at basic computer applications (MS Suite, Web browsing)
- Preferably educated to High School level or equivalent
- Ability to write, speak and listen effectively in English required, Spanish and/or Portuguese a plus
Benefits
Comp & perks- Confidentiality of beneficiary and provider information in accordance with HIPAA
- Support onboarding and training of new team members through mentoring and knowledge sharing
- Comply with established service recovery protocols
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Claims ProcessingTyping ProficiencyBasic Computer ApplicationsEnrollment ManagementBilling Procedures
Soft Skills
Problem SolvingCustomer EducationCollaboration