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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.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong communication skills and operational support capabilities in a call center environment, with a focus on claims processing, enrollments, and adherence to compliance standards. Proficient in customer education regarding self-service options and effective problem resolution.
Highest-signal resume keywords
Call Center ExperienceClaims ProcessingSAP or Salesforce ProficiencyEffective Communication in EnglishAdministrative Support
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingTyping ProficiencyBasic Computer ApplicationsEnrollment ManagementBilling Procedures
Soft Skills
Problem SolvingCustomer EducationCollaboration
Tools & Technologies
SAPSalesforceMS Suite
Industry Keywords
Health InsuranceTRICARE RulesCompliance StandardsCall and Email Etiquette
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