Customer Service Representative

Roles & Responsibilities

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  Handle inbound calls from US-based members regarding healthcare insurance, claims, policy details, and coverage
• .Provide accurate information regarding eligibility, deductibles, payments, and prior authorizations
• .Document interactions appropriately and maintain patient confidentiality in compliance with HIPAA guidelines
• .Resolve customer queries promptly with a customer-first approach
• .Escalate complex issues to appropriate departments when needed
• .Stay updated with system changes, policy updates, and meet quality and productivity targets