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Claims Customer Representative

Atlanta, GA, United States

Claims Customer Service Representative

Location: Atlanta, Georgia

Salary - $47,000

Permanent Job Offer

Excellent Training & Progression Opportunities

Working Full Time In The Office

Job Description :

We have an exciting opportunity to join our growing team. We are looking for highly motivated individuals who are passionate about exceptional customer service to join our fast-paced claims department. The ideal candidate will be creative, perceptive, and very attentive to detail. Excellent communication, computer, problem solving skills, and working collaboratively alongside the other members of the department are critical for this role. The Claims Customer Service Representatives handles a high volume of phone calls for inquiries such as eligibility and benefits, claim status and coverage questions. Other essential functions and duties may be assigned as needed.

Job requirements:

Ability to l utilize out-of-the-box, creative thinking to resolve a wide variety of claims questions and customer inquiries.

Ability to quickly pick up new concepts. You will be required to become a subject matter expert of products, procedures, and forms required.

Must exhibit the ability to interact with customers in a positive and professional manner.

In this role you will have a goal of single call resolution by utilizing knowledge of policies and procedures to communicate appropriate information.

You will communicate with roughly 60-80 customers/providers throughout the day, answering questions and providing information regarding claim/benefit inquires through the utilization of multiple applications and platforms.

You will communicate effectively through email as well with internal/external stakeholders in a customer centric and professional demeanor while recognizing what needs to be done to meet customers' expectations.

Must have the ability to meet production and quality guidelines established by the department's supervisor/manager.

Qualifications:

1 to 2 years of Health Claims Experience

Intermediate skills with the Microsoft Suite of products

1 to 2 years Call Center experience

Ability to multitask

Ability to work a rotating schedule within our normal service hours of 8:00 to 5:30

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