Claims Processing Agent

Job Description / What you do:

• Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention on Member's Claim submission.
• Review and handle claims according to the established standard procedure.
• Support the team and departmental productivity goals to meet the agreed upon Service Level Agreement (SLA) and deliver exceptional customer service
• Provide accurate and professional responses to client inquiries, and if needed, collaborate with other departments to ensure prompt and efficient resolution.
• Engage in departmental medical training to broaden understanding of medical terminology and procedures, and enhance proficiency in claims processing skills.
• Ensures adaptability in various claims handling work-related tasks to be able to facilitate a multi-tasking role.
• Ensures that high quality targets (standard of work...