Responds to and resolves various customer inquiries via telephone and correspondence, and resolves claims problems within established production and quality standards. Answers incoming calls and written requests for information from members or providers promptly and accurately. Composes routine and non-routine correspondence to answer member inquiries that require a written response. Coordinates with other departments to ensure timely and appropriate responses. Expedites and resolves complex issues and makes claim adjustments. Educates others on the client product, providing accurate information and updates to policies and procedures, improving overall customer satisfaction in the process.
Handle customer inquiries in call center environment
Working hours: 9:30 AM - 6:00 PM
Previous experience in call center environment within the healthcare industry
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