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Claims Customer Service Representative

Bay Bridge Administrators • Full-time • Remote (West Lake Hills, TX, US) • $17 - $21 / hour • 1w ago

JOB DESCRIPTION

Department: Claims

Position: Claims Customer Service Representative

Document Effective Date: 03/15/2022

Team: Claims

Review Date:

Responsibilities

JOB SUMMARY: Examine, perform, research and make the decisions necessary to properly adjudicate telephone and written inquiries

Provide eligibility and claim status to policyholders or providers with a positive and professional approach
Interpret contract benefits in accordance with specific claims processing guidelines
Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decisions
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
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

Required Skills:

Intermediate knowledge of Microsoft Office systems to include Word and Excel
Analytical skills
Ability to prioritize and handle multiple tasks
Ability to work in a fast paced/deadline driven environment.
Ability to work independently or in a team oriented environment
Ability to communicate clearly and concisely both verbally and in writing

Experience and Education:

High School Diploma or GED equivalent. Prefer candidates with an Associate Degree. Minimum of 1 year experience in a position requiring related skills. Will accept education in lieu of experience. Preferred background in healthcare industry, preferably insurance.

Job Type: Full-time

Pay: $17.00 - $21.00 per hour

Benefits:

Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Referral program
Tuition reimbursement
Vision insurance

Schedule:

8 hour shift
Monday to Friday

Application Question(s):

Do you live in the Austin TX area and willing to commute to the office to work onsite?
If you currently don't live in the Austin area, when do you plan to relocate?
Are you interested in working in the office, hybrid, or a fully remote position?

Experience: