Service Center Representative

Job Description :

Pay Range : $13hr - $18hr

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).

Education :

Experience :

Skills, Abilities and Qualifications :

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Salary : $13 - $18