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About the Role
eNoah, a Harris Computer company, is seeking a Life and Health Claims Customer Service Representative to examine, research, and adjudicate telephone and written inquiries, interpreting contract benefits and communicating system issues.
Responsibilities
- Examine, research, and adjudicate telephone and written inquiries.
- 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 daily use information regarding benefits, contract coverage, and policy decisions.
- Maintain external contacts with policyholders, providers of service, agents, attorneys, and other carriers.
- Maintain internal contacts with peers, management, and other support areas.
- Interpret contract benefits accurately to policyholders, agents, and providers.
- Provide claim status to policyholders or providers.
- Answer calls as required by company policy in a helpful, professional, timely manner.
- Place outgoing calls as needed to provide or obtain information.
- Document all calls (written/on-line) 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 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.
Requirements
- Positive and professional approach in all interactions.
- Ability to document calls while in progress.
- Ability to fully document policy files or imaging systems.
- Willingness to participate in cross-training and group training sessions.
- Open communication with Supervisor, Team Lead, and team members.
Skills
- Claims processing
- Customer service
- Communication
- Problem-solving
- Data entry
- Interpersonal skills
Work Type
- Full-time
Salary/Compensations
- $17.00 per hour
About the Company
- eNoah is a Harris Computer company.