The Claims Specialist manages insurance claims and payer inquiries by making outbound calls and navigating IVR systems. They are responsible for documenting results, verifying eligibility, and following up on claim statuses and denials.
The representative will support customers via CRM tools, accurately documenting interactions and resolving issues with empathy. They are responsible for identifying trends, escalating high-risk situations, and maintaining professional standards while meeting client metrics.
Provide empathetic customer support via CRM tools to resolve account issues and document interactions accurately. Identify recurring trends and escalate high-risk situations to management to improve service quality.
Provide empathetic customer support via CRM tools, documenting interactions and resolving issues efficiently. Identify recurring trends and escalate high-risk situations to management to improve customer experience.
