Job Description
- 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.