We are seeking a highly motivated and experienced individual from a medical background to join our
team as a Medical Claims Call Center Representative. In this role, you will be responsible for handling
inbound customer calls related to claims and the rejection of claims. Your primary focus will be to
provide exceptional customer service while resolving customer inquiries and concerns effectively.
Key Roles Responsibilities:
? Answer incoming customer calls in a qualified and timely manner.
? Assist customers with inquiries including medical claims and rejections.
? Provide accurate and detailed information about claim procedures, documentation
requirements, and coverage.
? Investigate and resolve customer concerns, ensuring high levels of customer satisfaction.
? Collaborate with internal departments,
such as claims processing to address and resolve
complex issues.
? Maintain thorough and up-to-date knowledge of products, medical billing codes, and claim
processes.
? Document customer interactions and update customer records accurately in the system.
? Identify and escalate critical or unresolved issues to the appropriate department or supervisor.
? Adhere to company policies, procedures, and compliance guidelines.?
Disclaimer : This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.