Customer Service Representative

About the role

eNoah, a Harris Computer company, is seeking a Life and Health Claims Customer Service Representative. The primary responsibilities include examining, performing research, and making decisions to properly adjudicate telephone and written inquiries. This involves interpreting contract benefits according to specific claims processing guidelines, communicating issues to the right parties, and maintaining external and internal contacts with a positive and professional demeanor.

Responsibilities

• Examine, research, and make decisions on inquiries regarding life and health claims
• 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 use information regarding benefits, contract coverage, and policy decisions
• Maintain external contacts with policyholders, providers, agents, attorneys, and other carriers
• Maintain internal contacts with peers, management, and other support areas
• Provide claim status to policyholders or providers with a positive and professional approach
• Answer calls as required by company policy in a helpful, professional, and 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
• 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

Qualifications

• High school diploma or equivalent
• One year of experience in a customer service role
• Strong communication skills
• Ability to work independently and manage multiple tasks
• Knowledge of life and health insurance policies and claims processing

Skills

• Excellent verbal and written communication skills
• Ability to handle stressful situations professionally
• Proficiency in using computer systems for claims processing
• Attention to detail

Benefits

Not specified

Pay

Hourly Rate - $17.00

Schedule

Not specified