Answer questions with regard to premium payment and billing. Explain statements, helping customers understand various pieces of insurance paperwork and answering questions with regard to insurance premium payments. Help understand the complex nature of the members individual health care benefits. Describe the benefits and coverage associated with their type of health care plan and describe exclusions and non-covered and prescriptions. This involves interpreting the terms of individual policies.
Responsible for answering incoming calls from customers while ensuring a high level of customer service and maximizing productivity with minimal down time. Resolved customer service inquiries including: merchandise, shipping estimated times of arrivals, member material requests, provider look-up, and authorization calls and claims status.
Trained and monitored employee production on a daily basis to ensure all performance goals were continually met, accounts and records were being maintained in an orderly and productive manner.
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