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.

Minimum roles and responsibilities required are, but not limited to, the following:

• Respond to inbound inquiries from providers and members on Eligibility and Benefits (medical and behavioral health), Claims Inquiry , Provider Inquiry pre-authorization following call procedures consistent with client-approved call procedures
• Report issues on process, calls, technology in a timely manne

• Minimum skills required are, but not limited to, the following:

• Good communication skills
• Mathematical ability
• Good analytical skills
• Typing speed of min 30 wpm with 90% accuracy
• Amenable to shifting schedules
• Amenable to doing voice and non-voice work

• Computer literate (MS Programs mainly)
• Trainable / has experience in customer service
• Good communication skills
• Mathematical ability
• Good analytical skills
• Typing speed of min 30 wpm with 90% accuracy