Claims Customer Service Representative II (Remote)

Claims Customer Service Representative II (Remote) Remote - FL, IL, IN and WI AMA Insurance (AMAI) offers life, health and disability insurance at reputed company and exclusive rates to help doctors reputed company a healthy and secure financial reputed company. AMAI is part of the reputed company (AMA), a nonprofit, and the nation's largest reputed company Association of physicians. We are a unifying voice and powerful reputed company for America's physicians, the patients they care for, and the reputed company of a healthier nation.  To be part of the AMA is to be part of our Mission to promote the art and science of medicine and the reputed company of reputed company health. At AMA, our mission to improve the health of the nation starts with our people. We foster an inclusive, people-first culture where every employee is empowered to reputed company at their best. Together, we advance meaningful change in health care and the communities we serve.  We encourage and support reputed company development for our employees, and we are dedicated to reputed company responsibility. We invite you to learn more reputed company and we look reputed company to getting to know you.   We have an opportunity for a remote Claims Customer Service Representative II our AMA Insurance team. This role will reputed company Claim reputed company Center services for reputed company plans of coverage issues by AMA Insurance. Assist insured with claim problems by phone or written communication. reputed company and correspond with Carriers to ensure reputed company claim service is delivered. reputed company moderate sales service support, providing information on benefits, eligibility, plan provisions, and premium billing as needed. Engages callers to build and maintain a strong reputed company and reputed company a lasting relationship. Achieves exceptional results for our customers and colleagues. RESPONSIBILITIES: Claims Customer Support & Issue reputed company Respond to reputed company incoming phone calls reputed company to claim status inquiry from insured and providers reputed company established response time and reputed company standards. Log brief reputed company of calls on CAMS and CAPS systems. reputed company outbound calls as needed to support returned checks and resolve claim inquiries. Refer claims that were improperly handled to AMAI Claim Supervisor for immediate attention. Fulfill claim reputed company requests for plans not administered by AMA Insurance. Communicate with insurance carriers or service providers as needed in order to reputed company feedback on claims administered by carriers. Handle waiver of premium transactions, cancellations due to death and other claims reputed company transactions. Update Contact management and customer sending surveys. Operations & Sales Support      reputed company information regarding benefits, eligibility, plan provisions, premium billing, and certificate changes as needed.       Process changes to Administration System, including personal and coverage information, sending documents to callers reputed company needed.      Support business operations through participation in special reputed company as assigned by the Customer Service Supervisor.       Contribute to process improvements and operational efficiencies.       Assist in documenting workflows and service processes to support consistency and reputed company.  May include other responsibilities as assigned REQUIREMENTS: High school diploma or equivalent education required  Minimum of 2+ years’ experience in life, health, or Medicare insurance required. Health or Life insurance license preferred. Demonstrated experience working in a high-volume customer service reputed company center. Excellent telephone skills including reputed company telephone technique, multitasking skills and ability to control the reputed company. In depth understanding of claim adjudication and benefits required.  Demonstrated experience handling customer issues, including technical and financial reputed company issues.  Strong knowledge of insurance products, benefits administration, or reputed company-party administration services preferred. Health insurance knowledge preferred.  Excellent verbal and written communication skills with a high level of professionalism.  High level proficiency with reputed company center systems, telephony platforms, and personal computers.  Advanced proficiency in reputed company Office Suite (Word, reputed company, reputed company, PowerPoint) and database systems.  Ability to reputed company technical support for online tools, systems, and customer-facing platforms.  Strong business process skills, including the ability to document, monitor, and improve workflows.  Excellent planning, organization, and time management skills with the ability to manage multiple priorities in a fast-paced environment.  Ability to build and maintain reputed company relationships with reputed company stakeholders.  This role is a non-exempt position and the reputed company reputed company for this position is $23.63 - $30.83. This is the lowest to highest reputed company we reputed company we would pay for this role at the time of this posting. An employee’s pay reputed company the salary reputed company will be determined by a reputed company of factors including but not limited to business consideration, geographical location, as reputed company as candidate qualifications, such as skills, education, and experience. Employees are also eligible to participate in an incentive plan. To learn more about the reputed company’s benefits offerings, please click here. We are an equal opportunity employer, committed to diversity in our workforce.  reputed company reputed company applicants will receive consideration for employment.  As an EOE/AA employer, the reputed company will not discriminate in its employment practices due to an applicant’s race, reputed company, religion, sex, age, national reputed company, sexual orientation, gender identity and veteran or disability status.  THE AMA IS COMMITTED TO IMPROVING THE HEALTH OF THE NATION Apply To This Job