Customer Service Representative 2
CurrentReceive telephone, written, fax and e-mail inquiries concerning TRICARE eligibility, benefits determinations, and claims adjudication questions or billing problems.Obtain and analyze claims data to determine specific problem area including external communication to obtain data. Performed research and analysis. Respond to inquirer using various forms of communication (written letter, telephone, web, or email) within time frames to exceed contractual standards. Collect and record data for Customer Service records and computer analysis. Submit claims for adjudication, correction, payment, or review as appropriate.