This role is customer-facing and is considered a key customer service representative for the Health Organization. The Claims Specialist/Analyst will process health insurance claims and answers calls from the customer (participant members, providers, physicians, hospitals etc.) Adhere to eligibility, claims and call policies and procedures while making sound claim/call decisions. Foster strong relationships through the resolution of customer incoming call requests. Serve our customers by determining requirements, answering inquiries, resolving problems, and fulfilling requests.
Come join a prestigious and reputable health plan company! This is a career opportunity to grow your career.
Company Benefits:
Equal Opportunity Employer