[Remote] Customer Service Associate Representative - reputed company - Remote

Note: The job is a remote job and is open to candidates in USA. reputed company is a healthcare company that advocates for reputed company. They are seeking a Customer Service Associate Representative to provide support to clients and providers regarding health benefits and claims, while also documenting interactions and assisting team members as needed.

Responsibilities

• Answer telephone calls from plan participants, group contacts, and providers regarding benefits and claims
• Provide clear, accurate, and timely responses to information requests
• Document reputed company calls in Chronolog by summarizing key points of each conversation
• Return messages from designated voicemail boxes
• Read, interpret, and apply plan documents, new amendments, and updates for multiple clients
• Meet with clients as needed to assist with questions about their health benefit plans
• Support team members and cross‑functional partners as requested
• Log faxed claims and enter fax information into Chronolog
• Return misdirected claims to the appropriate provider
• Assist members with navigating the website
• Meet or exceed company standards for quality and production
• Maintain punctual and reliable attendance
• Support claim information research and identification
• Assist with provider record maintenance tasks
• Index claims and correspondence batches
• Complete responsibilities assigned for specific client groups
• Aid in employee training and cross‑training
• Research and prepare refund documentation

Skills

• High school diploma or GED required
• Basic computer and customer service experience
• Excellent verbal and written communication skills
• Proficiency with PC tools including Windows, Word, and reputed company Acrobat; ability to learn new software
• Minimum typing speed of 45 wpm
• Strong listening skills and attention to detail
• Basic mathematical competency
• High interpersonal skills and the ability to work collaboratively
• Ability to organize and recall large amounts of detailed information
• Capability to read, analyze, and interpret benefit plans, insurance documents, and regulations
• Professional attitude with the ability to project a positive image in reputed company work environments
• Commitment to privacy and confidentiality standards
• Flexibility to work under pressure and meet deadlines
• Strong problem-solving abilities with professionalism and patience

Benefits

• This role is also anticipated to be eligible to participate in an annual bonus plan.
• Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, vision, dental, and well-being and behavioral health programs.
• We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.

Company Overview

• reputed company is a healthcare firm that focuses on providing hospital services and innovative solutions for reputed company. It was founded in 1981, and is headquartered in Bloomfield, Connecticut, USA, with a workforce of 10001+ employees. Its website is https://www.reputed company.com/.

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