Customer Service Representative
Assured Benefits Administrators, El Paso, TX, United States
Position Summary
As a Customer Service Representative, you play a pivotal role in ensuring customer satisfaction by responding to inquiries, resolving issues, and providing information through inbound telephone communication. Your primary responsibility is to manage incoming customer service calls professionally, ensuring each customer's needs are addressed effectively and efficiently.
Essential Duties and Responsibilities
Communicate and provide service to preferred providers in order to build positive supporting relationships.
Assists members, providers and healthcare providers with benefit inquiries, referral prior authorizations status and eligibility via inbound telephone calls.
Research and identify processing inaccuracies in claim payments and route to the appropriate team for claim adjustments.
Maintain and submit thorough and organized records of all interactions, inquiries, and resolutions in the customer service email alias.
Follows up on customer issues, researches problems, and processes documents necessary to ensure a successful resolution.
Stay updated on company policies, procedures, and compliance regulations in the healthcare and insurance industry.
Provides clear, articulate communication to accurately describe our services to members/providers and collect information.
Handles calls and correspondence that are predominantly routine but may require some deviation from standard procedures.
Collaborate with other customer service representatives and departments to address complex member issues and improve overall client and member experience.
Performs any other duties that may be requested by supervisor or management.
Minimum Qualifications (Knowledge, Skills, and Abilities)
High School Diploma or equivalent required.
1-2 years’ experience in the insurance industry is highly preferred.
Good verbal and written communication skills.
This position requires a person who has an inherent service orientation, who can remain calm and clearly communicate tactfully, both externally and internally.
Strong knowledge of commonly used concepts, practices, and procedures in the insurance field preferred.
Other Details
Supervisory Responsibilities: None
Work Environment: The noise level in the work environment is usually low to moderate.
Physical Demands: The employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand, walk, sit, and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required include close vision, distance vision, and the ability to adjust focus.
Travel Requirements: None
The Company complies with employment regulations as they apply to the location of service.
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As a Customer Service Representative, you play a pivotal role in ensuring customer satisfaction by responding to inquiries, resolving issues, and providing information through inbound telephone communication. Your primary responsibility is to manage incoming customer service calls professionally, ensuring each customer's needs are addressed effectively and efficiently.
Essential Duties and Responsibilities
Communicate and provide service to preferred providers in order to build positive supporting relationships.
Assists members, providers and healthcare providers with benefit inquiries, referral prior authorizations status and eligibility via inbound telephone calls.
Research and identify processing inaccuracies in claim payments and route to the appropriate team for claim adjustments.
Maintain and submit thorough and organized records of all interactions, inquiries, and resolutions in the customer service email alias.
Follows up on customer issues, researches problems, and processes documents necessary to ensure a successful resolution.
Stay updated on company policies, procedures, and compliance regulations in the healthcare and insurance industry.
Provides clear, articulate communication to accurately describe our services to members/providers and collect information.
Handles calls and correspondence that are predominantly routine but may require some deviation from standard procedures.
Collaborate with other customer service representatives and departments to address complex member issues and improve overall client and member experience.
Performs any other duties that may be requested by supervisor or management.
Minimum Qualifications (Knowledge, Skills, and Abilities)
High School Diploma or equivalent required.
1-2 years’ experience in the insurance industry is highly preferred.
Good verbal and written communication skills.
This position requires a person who has an inherent service orientation, who can remain calm and clearly communicate tactfully, both externally and internally.
Strong knowledge of commonly used concepts, practices, and procedures in the insurance field preferred.
Other Details
Supervisory Responsibilities: None
Work Environment: The noise level in the work environment is usually low to moderate.
Physical Demands: The employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand, walk, sit, and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required include close vision, distance vision, and the ability to adjust focus.
Travel Requirements: None
The Company complies with employment regulations as they apply to the location of service.
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