Customer Service Representative

Looking for a new team member to join our growing team! This position will involve connecting with members and providers in a healthcare office setting.

Description:

• Answer calls from providers and assist with claim status and updates
• Investigate claim status through online systems
• Provide excellent customer service to all Medicare Advantage members.
• Assist with coverage and claims related questions.
• Accurately interpret benefits and policy provisions for all products.
• Conduct research and follow-up for prompt resolution.
• Work efficiently in a high volume call center while maintaining a professional, polite manner
• Research, investigate and triage customer issues of concern and dissatisfaction as assigned
• Advocate for the customer: explain benefits in a detailed and courteous manner so they are understood

Additional Skills & Qualifications:

• Call center experience and understanding metrics/expectations
• Ability to do research and light analysis - why was the claim denied or only partially paid?
• Must have excellent phone etiquette and professional demeanor
• Understand how to resolve customer service issues effectively and efficiently
• Empathy is crucial for success in this role

Please apply with an updated resume!

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.