The Customer Care Representative handles inbound calls from policyholders and partners to assist with claim status, policy explanations, and service inquiries. They are responsible for resolving complex issues, maintaining productivity standards, and navigating multiple systems to provide high-quality service.
The specialist manages a caseload of accommodation requests by reviewing medical documentation and facilitating the interactive process between employees and employers. They ensure compliance with ADAAA, PWFA, and other relevant legislation while maintaining strict confidentiality of health information.
The Customer Care Representative Sr. manages inbound and outbound communications to support claimants and claims examiners with disability and leave processes. They are responsible for accurate documentation, resolving routine technical issues, and maintaining claimant confidentiality in accordance with HIPAA regulations.
Manage inbound calls for claimant leaves and intake applications while performing outbound voice tasks for clients. Accurately document information into systems and resolve routine administrative technical issues while maintaining HIPAA compliance.
The specialist acts as a liaison between clients, employees, and healthcare providers to manage claims and facilitate returns to work. Responsibilities include investigating claim issues, interpreting contract provisions, and ensuring compliance with HIPAA and regulatory guidelines.
