Customer Care Senior Representative

Responsibilities

• Performs timely and accurate review of electronic records/documentation scanning for completeness of submissions in accordance with established policies.
• Identifies opportunities and reports on inaccuracies that may be present in reviewed documents.
• Learns CRM system and is able to access different internal online resources to obtain required information in a timely manner.
• Performing inbound and outbound calls to insurance companies, medical facilities and customers in the US.
• Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met.
• Analyzing medical insurance claims for quality assurance.
• Resolving moderately routine questions following pre-established guidelines.
• Performing routine research on customer inquiries.
• Developing and maintaining a solid working knowledge of the healthcare insurance indu...