Job Summary
We are seeking a Senior Process Executive - HC with 1 to 3 years of experience in Customer Service and domain expertise in Claims Provider and Payer. The role involves handling complex customer interactions and ensuring efficient processing of claims. This hybrid position requires night shift availability and offers an opportunity to make a significant impact on our service delivery.
Responsibilities
Handle complex customer interactions with professionalism and efficiencyEnsure accurate and timely processing of claimsCollaborate with providers and payers to resolve issues and discrepanciesMaintain up-to-date knowledge of industry regulations and company policiesUtilize technical skills to enhance customer service deliveryMonitor and report on key performance indicatorsProvide feedback and suggestions for process improvementsAssist in training and mentoring junior team membersEnsure compliance with all relevant guidelines and standardsManage and prioritize multiple tasks effectivelyCommunicate clearly and effectively with team members and stakeholdersParticipate in team meetings and contribute to strategic discussionsSupport the overall goals and objectives of the company
Qualifications
Possess strong technical skills in customer serviceHave domain expertise in claims provider and payer processesDemonstrate excellent communication and interpersonal skillsExhibit strong problem-solving abilitiesShow attention to detail and accuracy in all tasksBe adaptable to a hybrid work model and night shiftsHave a proactive approach to learning and development.
Certifications Required
Certified Customer Service Professional (CCSP) or equivalent certification in customer service.
