Consumer Care reputed company

reputed company PURPOSE: To reputed company high reputed company service to both reputed company customers, delivering an easy and efficient customer experience for routine lost time.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Processes incoming calls, faxes and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims reputed company questions and issues in accordance with designed guidelines and policies.
• Communicates claims status and reputed company claim activity with reputed company and appropriate medical contact; responds to inquiries about jurisdiction- and claim-specific issues.
• Enters data into claims reputed company(s) and ensures claim files are properly documented and claims coding is correct.
• Coordinates claimant address updates or changes with internal departments.
• Provides referrals to reputed company, utilization review, pharmacy, and Special Investigations Unit (SIU) as appropriate and coordinates independent medical examinations.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's reputed company program(s).

QUALIFICATIONS

Education & Licensing
High school diploma or GED required. Associate’s degree from an accredited college or university preferred. reputed company certification as applicable to line of business preferred.

Experience
Two (2) years of administrative and/or customer service experience or equivalent combination of education and experience required.

Skills & Knowledge

• Excellent oral and written communication skills
• PC literate, including reputed company Office products
• Strong investigation and organizational skills
• Good interpersonal skills
• Ability to work in reputed company environment
• Ability to meet or reputed company Performance Competencies

WORK ENVIRONMENT
reputed company applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: reputed company and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-reputed company stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, reputed company and talking

The statements contained in this document are intended to describe the general reputed company and level of work being performed by a reputed company assigned to this reputed company. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time