Medicare Claim Representative

OneSparQ is looking for a Customer Service Representative for a health and life insurance provider in Brookhaven, GA.

Required Skills:

1+ years of experience within Medicare Claims adjudication

1+ years of experience working in a call center environment with a one call mindest

Proficiency with Microsoft Suite of products

Additional Skills:

Experience with Claims Adjudication and EOB

Familiarity with the Medicare Supplement Process

Responsibilities:

Handle inbound calls from customers regarding health insurance claims

Provide accurate information about claim status, policy coverage, and benefits

Assist customers in filing health insurance claims and guide them through the process

Document all customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken

Coordinate with the claims department to resolve customer issues

Maintain customer confidentiality and adhere to health privacy regulations

Participate in training sessions to stay updated with the latest industry regulations and practices