Job Description

Key Responsibilities

• Maintain knowledge of basic plan provisions, benefit schedules, and systems.
• Provide prompt and accurate responses to inquiries via phone, email, and in-person, addressing questions, explaining claims, quoting self-payment amounts, verifying eligibility/benefits, and resolving issues.
• Document all interactions in the Customer Service module.
• Perform clerical tasks such as processing enrollment forms, working spouse forms, special fund claims, and disability claims.
• Accurately navigate and share information about company website.
• Monitor and manage incoming calls using the call management system.
• Retrieve and respond to messages.
• Perform additional duties as needed.

Required and Preferred Qualifications

• 1+ years of experience in a call center environment, preferably in medical billing or insurance claims processing.
• Bilingual candidates are strongly preferred.
• Bachelor’s degree or equivalent experience is required.

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