Deliver administrative and basic customer service for insurance claims and policies
Receive and respond to requests by mail, telephone, or in person from policy holders, providers, clients, and brokers
Handle calls and e-mails and respond to simple and complex inquiries regarding eligibility, card status, envoy registration/navigation, policy benefits, certificates of insurance, claims status
Perform research to respond to inquiries and interpret policy provisions to determine effective responses
Mail or route claim forms and supporting documentation to various units for final processing
Independently respond to inquiries, grievances, complaints, or appeals ranging from routine to moderate complexity
Escalate or seek assistance for complex customer service issues as needed
Requirements
Must have a diploma or bachelor’s degree certificate
Excellent English written and oral communication skills
French written and oral skill is a must
Exceptional organizational and time-management focus
1+ years of customer service experience analyzing and solving customer problems required
Call center experience a plus
Ability to perform in a high volume, fast paced call center environment
Proven ability to work independently as well as a productive member of a team
Intermediate proficiency in Microsoft Office suite; high level capacity to multitask independently and on a computer
Knowledge of medical terminology a plus
Willingness to work 24 x 7 rotation shifts, 5 days a week, split shifts and public holidays
ATS Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
customer serviceproblem solvingresearchpolicy interpretationmedical terminologymultitaskingcall center experienceadministrative skillsclaims processingeligibility analysis
Soft skills
communication skillsorganizational skillstime managementindependenceteamworkgrievance handlingcomplaint resolutionadaptabilitycustomer inquiry responseescalation management