Customer Service Representative
Please mention DailyRemote when applying
AI Summary
The Customer Service Representative interprets contract benefits and provides claim status to policyholders and providers. They document all calls and transfer calls to other departments as needed.
- Interpret contract benefits accurately to policyholder, agents, and providers with a positive and professional approach.
- Provide claim status to policyholders or providers with a positive and professional approach.
- Answer calls as required by company policy in a helpful, professional, timely manner.
- Place outgoing calls as needed to provide or obtain information.
- Document (written/on-line) all calls while in progress.
- Transfer calls to employees in other departments as required to meet customer needs.
- Fully document policy file or imaging system with all related material so as to leave a clear and concise audit trail.
- Actively participate in cross training and group training sessions to maximize team efficiency and maintain or exceed service standards.
- Communicate openly with Supervisor, Team Lead and other team members to ensure accurate responses and avoid duplication of efforts.
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