High School Diploma or equivalent Required Work Experience: 2 years of customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work experience.
60 Mem Claims Customer Service Representative Jobs Hiring Near You
High School Diploma or equivalent Required Work Experience: 2 years of customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work experience.
Required Work Experience: * 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience.
Required Work Experience: * 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience.
Claims Customer Service Advocate II
Myrtle Beach, SC · On-site
$23.11/hr
Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or ... Strong customer service skills. Good spelling, punctuation and grammar skills. Basic business math ...
Claims Customer Service Advocate II
Myrtle Beach, SC · On-site
$23.11/hr
Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or ... Strong customer service skills. Good spelling, punctuation and grammar skills. Basic business math ...
Required Work Experience: * 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience.
Required Work Experience: * 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience.
Required Work Experience: * 1 year of experience in claims/appeals processing, customer service, or other related support area OR Bachelor's Degree in lieu of work experience. * Required Skills and ...
Required Work Experience: * 1 year of experience in claims/appeals processing, customer service, or other related support area OR Bachelor's Degree in lieu of work experience. * Required Skills and ...
Required Work Experience: * 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience.
Required Work Experience: * 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience.
Required Work Experience: * 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience.
Required Work Experience: * 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience.
Customer Service Representative/ Claims management
Plano, TX · On-site
$24/hr
Customer Service Representative 3 Location: 6625 Excellence Way, Plano, TX Duration: 6 Months ... Customer Care Experience (Call Center) /Claims Management Experience / Insurance Claims or Adjuster ...
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Customer Service Representative/ Claims management
Plano, TX · On-site
$24/hr
Customer Service Representative 3 Location: 6625 Excellence Way, Plano, TX Duration: 6 Months ... Customer Care Experience (Call Center) /Claims Management Experience / Insurance Claims or Adjuster ...
Customer Service Representative
$16.50 - $22.50/hr
Customer Service Responsibilities include: Creating detailed business plans to facilitate the attainment of goals and quotas Managing the entire sales cycle from finding a client to securing a deal ...
Customer Service Representative
$16.50 - $22.50/hr
Customer Service Responsibilities include: Creating detailed business plans to facilitate the attainment of goals and quotas Managing the entire sales cycle from finding a client to securing a deal ...
Required Work Experience: * 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience.
Required Work Experience: * 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience.
Required Work Experience: * 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience.
Required Work Experience: * 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor's degree in lieu of work experience.
Customer Service Representative
Elmira, ON · On-site
CA$47K - CA$50K/yr
About The Role As a Claims Customer Service Representative, you will be part of a dynamic team that provides exceptional client experience for Group Insurance clients. This posting is for an existing ...
Customer Service Representative
Elmira, ON · On-site
CA$47K - CA$50K/yr
About The Role As a Claims Customer Service Representative, you will be part of a dynamic team that provides exceptional client experience for Group Insurance clients. This posting is for an existing ...
About the role We are looking for a Customer Service Representative I to join our growing team! What you'll do here: * Answer incoming phone calls by demonstrating unparalleled customer service.
About the role We are looking for a Customer Service Representative I to join our growing team! What you'll do here: * Answer incoming phone calls by demonstrating unparalleled customer service.
Claims Service Representative
Worcester, MA · On-site
$20/hr
Claims Service Representative Location: Howell, MI area (Hybrid: 2 days in-office per week ... customer service center in the Howell, MI area. Recognized as a top national employer, our client ...
Claims Service Representative
Worcester, MA · On-site
$20/hr
Claims Service Representative Location: Howell, MI area (Hybrid: 2 days in-office per week ... customer service center in the Howell, MI area. Recognized as a top national employer, our client ...
About the role We are looking for a Customer Service Representative I to join our growing team! What you'll do here: * Answer incoming phone calls by demonstrating unparalleled customer service.
About the role We are looking for a Customer Service Representative I to join our growing team! What you'll do here: * Answer incoming phone calls by demonstrating unparalleled customer service.
About the role We are looking for a Customer Service Representative I to join our growing team! What you'll do here: * Answer incoming phone calls by demonstrating unparalleled customer service.
About the role We are looking for a Customer Service Representative I to join our growing team! What you'll do here: * Answer incoming phone calls by demonstrating unparalleled customer service.
About the role We are looking for a Customer Service Representative I to join our growing team! What you'll do here: * Answer incoming phone calls by demonstrating unparalleled customer service.
About the role We are looking for a Customer Service Representative I to join our growing team! What you'll do here: * Answer incoming phone calls by demonstrating unparalleled customer service.
About the role We are looking for a Customer Service Representative I to join our growing team! What you'll do here: * Answer incoming phone calls by demonstrating unparalleled customer service.
About the role We are looking for a Customer Service Representative I to join our growing team! What you'll do here: * Answer incoming phone calls by demonstrating unparalleled customer service.
About the role We are looking for a Customer Service Representative I to join our growing team! What you'll do here: * Answer incoming phone calls by demonstrating unparalleled customer service.
About the role We are looking for a Customer Service Representative I to join our growing team! What you'll do here: * Answer incoming phone calls by demonstrating unparalleled customer service.
Customer Service Representative
Kansas City, MO · On-site
$17 - $22/hr
Responds to customer inquiries regarding coverages, billing, claims, or products by following ... Service Representative.
Quick apply
Customer Service Representative
Kansas City, MO · On-site
$17 - $22/hr
Responds to customer inquiries regarding coverages, billing, claims, or products by following ... Service Representative.
Mem Jobs Information
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Claims Customer Service Advocate II
Myrtle Beach, SC • On-site
Contractor
Re-posted 24 days ago
Job description
Duties:
- Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures.
- 45% Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries. Handles situations which may require adaptation of response or extensive research. Identifies incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines.
- 45% Examines and processes claims and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes. Ensures claims are processing according to established quality and production standards.
- 10% Identifies complaints and inquiries of a complex level that cannot be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and reports potential fraud and abuse situations.
Skills:
- Required Skills and Abilities: Good verbal and written communication skills. Strong customer service skills. Good spelling, punctuation and grammar skills. Basic business math proficiency. Ability to handle confidential or sensitive information with discretion.
- Required Software and Other Tools: Microsoft Office.
- Work Environment: Typical office environment.
Required Education: High School Diploma or equivalent
Required Work Experience: 2 years of customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work experience.