
Our Client, a Business Solutions company, is looking for a SGS-Service Center Representative for their Remote location.
Responsibilities
Essential Functions Duties and Responsibilities: Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims process and servicing processes. Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status. Educates members and providers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written application information that meets both the internal and external customer’s requirements accurately into the claims management system. Assigns new claims to the appropriate claims handler. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed. Attendance during scheduled work hours is required. Performs other duties as assigned. Supports the organization\'s quality program(s). Requirements
Claims and Customer service is priority for experience High School diploma or GED required. College courses preferred. One (1) year of customer service and claims experience or an equivalent combination of education and experience is required. Inbound call center experience preferred. Knowledge of medical terminology Understanding of claims management Excellent oral and written communication PC literate, including Microsoft Office products and must be comfortable on camera when requested. Analytical and interpretive skills Strong organizational skills Good interpersonal skills Ability to multitask in a fast-paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and/or independently. Ability to meet or exceed Performance Competencies Why Should You Apply?
Health Benefits Referral Program Excellent growth and advancement opportunities As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
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Essential Functions Duties and Responsibilities: Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims process and servicing processes. Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status. Educates members and providers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written application information that meets both the internal and external customer’s requirements accurately into the claims management system. Assigns new claims to the appropriate claims handler. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed. Attendance during scheduled work hours is required. Performs other duties as assigned. Supports the organization\'s quality program(s). Requirements
Claims and Customer service is priority for experience High School diploma or GED required. College courses preferred. One (1) year of customer service and claims experience or an equivalent combination of education and experience is required. Inbound call center experience preferred. Knowledge of medical terminology Understanding of claims management Excellent oral and written communication PC literate, including Microsoft Office products and must be comfortable on camera when requested. Analytical and interpretive skills Strong organizational skills Good interpersonal skills Ability to multitask in a fast-paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and/or independently. Ability to meet or exceed Performance Competencies Why Should You Apply?
Health Benefits Referral Program Excellent growth and advancement opportunities As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
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