Customer Service Representative

Position Title: Customer Service Representative

Work Location: Remote

Assignment Duration: 4+ months

Position Summary:

Delivers straightforward administrative and/or other basic business services in Customer Service.

Key Responsibilities:

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  Receives requests by mail, telephone, or in person regarding insurance claims/policies.

  
  
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  Responds to inquiries from policy holders, providers and/or others for information and assistance.

  
  
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  Performs research to respond to inquiries and interprets policy provisions to determine most effective response.

  
  
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  Mails or routes claim forms and supporting documentation to various units for final processing.

  
  
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  Position typically requires excellent interpersonal skills, ability to understand and interpret policy provisions.

  
  
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  Independently responds to inquiries, grievances, complaints or appeals ranging from routine to moderate complexity.

  
  
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  Issues tend to be routine in nature.

  
  
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  Good knowledge and understanding of Customer Service and business/operating processes and procedures.

  
  
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  Works to clearly defined procedures under close supervision.

  
  

Qualification & Experience:

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  HS Diploma/GED required.