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Are you looking for a fully remote opportunity where you can leverage your customer service experience and knowledge of health insurance benefits? Our client is seeking a Customer Service Representative to support their Medicare Supplement claims team. This role is ideal for someone who thrives in a fast-paced environment, enjoys helping healthcare providers resolve payment questions, and is comfortable managing a high volume of calls each day.
Responsibilities
- Serve as the primary point of contact for healthcare providers regarding claim payments and reimbursement inquiries
- Handle a high volume of inbound calls, averaging 60-80 calls per day
- Research claim status, payment history, and reimbursement issues
- Review and explain Explanation of Benefits (EOB) information to providers
- Verify coverage and payment details related to Medicare Supplement plans
- Communicate professionally with providers to resolve concerns and answer questions
- Document inquiries and resolutions accurately within company systems
- Collaborate with internal teams to investigate and resolve claim discrepancies
- Respond promptly to Microsoft Teams messages and maintain effective communication in a remote work environment
- Meet established service, quality, and productivity expectations
- Maintain confidentiality of member and provider information
Requirements
- Previous customer service experience in healthcare insurance or life insurance
- Working knowledge of health insurance benefits and claims processing
- Ability to read and interpret Explanation of Benefits (EOB) documents
- Strong verbal communication and problem-solving skills
- Comfortable handling a high volume of phone calls throughout the day
- Proficiency with Microsoft Office and Microsoft Teams
- Strong attention to detail and organizational skills
- Ability to work independently in a remote environment
- Reliable attendance and punctuality are essential
- High school diploma or equivalent required
- Medicare Supplement or healthcare insurance experience preferred
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