Customer Service Representative
CurrentDelivering excellent customer care and creating sustainable value for our customers via phone, email, chat, and correspondence. While investigating, processing and resolving inquiries and concerns while responding to our member, provider or beneficiary inquiries i via multiple contact methods regarding benefits, eligibility, materials forms, ID cards, PCP changes, complex inquiries and quality care issues, Directing them to the proper channels to get concerns answer for claims and/or adjudicating claim-related inquiries. Whilst initiating status reports And or sending service recovery letters to the inquirer when these delays occur in responding to an inquiry as required by policy, Rerouting misdirected inquires as we educate new and existing members, providers, and or beneficiaries concerning our company policies and procedures and Explaining specific benefits through welcome calls and daily telephone inquiries and written correspondence which are routine.