Responsible to respond to inbound inquiries from providers and members on Eligibility and Benefits (medical and behavioral health), Claims Inquiry, Provider Inquiry pre-authorization.
Answer calls coming from potential and enrolled members of a US healthcare insurance company. These calls are mainly on customer service - providing formation, requesting for help, following up on a previous concern, exploring new plans, cancelling existing plans, filing for appeals and/or grievances.
At least 2 years in College - at least with 6 month CCE
Graduate Degree - Accepting no CCE so long as good communication skills
English communication skills
Basic computer knowledge and operation
Ability of analyze and solve customer's concern
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Ability to maintain the highest level of confidentiality interpersonal skills
Ability to work in a team fostered environment
Ability to work in a multi-tasked environment
Ability to prioritize and organize work
Ability to adapt to a flexible schedule