Customer Service Representative

About the role

eNoah, a Harris Computer company, is seeking a Life and Health Claims Customer Service Representative. In this position you will examine, perform research and make the decisions necessary to properly adjudicate telephone and written inquiries.

Responsibilities

• Interpret contract benefits in accordance with specific claims processing guidelines
• Communicate problems identified relevant to the claims processing system to the appropriate people
• Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decisions
• Maintain external contacts with policyholders, providers of service, agents, attorneys and other carriers as well as internal contacts with peers, management, and other support areas with a positive and professional approach
• Interpret contract benefits accurately to policyholder, agents, and providers with a positive and professional approach
• Provide claim status to policyholders or providers with a positive and professional approach
• Answer calls as required by company policy in a helpful, professional, timely manner
• Place outgoing calls as needed to provide or obtain information
• Document (written/on-line) all calls while in progress
• Transfer calls to employees in other departments as required to meet customer needs
• Fully document policy file or imaging system with all related material so as to leave a clear and concise audit trail
• Actively participate in cross training and group training sessions to maximize team efficiency and maintain or exceed service standards
• Communicate openly with Supervisor, Team Lead and other team members to ensure accurate responses and avoid duplication of efforts

Pay

Hourly Rate - $17.00