Responsibilities
· Answer calls and greet customers for the purpose of visit and directs them appropriately
· Verify inquiries for eligibility for medical, dental and vision services
· Receive and process group enrollment and change of status forms
· Address enrollment, cancellation and qualifying events issues
· Assist customers with deductible/reimbursement claim form
· Assist customers with medical inquiries and explanation of benefits and claim determinations
· Prepare letters for Customers / Groups on appointment information, denial letters and pending documents
· Assist Brokers on New Accounts and coordinate Renewals and other request.
· Contributes to team effort
· Coordinate courier dispatch
· Enter customer and provider inquiries in a call tracking system
· Explain coverage according to schedule of benefits
· File group correspondence folder and enrollment forms in the account folder
· Maintain account listing as provided by Account Executive
· Maintain safe and clean reception area by complying with procedures, rules and regulations
· Notify company personnel of visitor arrival or caller and manages workflow activity
· Organize provider checks and manage provider check pick-up
· Prepare claim analysis report for customers
· Process HIPPA certificates
· Receive mail, documents, packages, courier deliveries and distribute items to appropriate personnel
· Report daily activity to the Manager / Supervisor
· Request and issue member cards
· Schedule and Coordinate off-island Appointments / Referrals
· Transmit customer receipts to claims department for processing
· Any other job related duties as assigned by Supervisor
Position Requirements
· High school diploma or equivalent required
· Must have excellent communication skills in verbal and written form
· Experience with Microsoft Office (ex: Outlook Express, Microsoft Word/Excel)
· Experience with operating Xerox machine (ex: Copy, Fax and Scan)
· Able to handle multiple assignments under high pressure
· Highly organized and dedicated with a positive attitude
· Thrive on working in a challenging environment
· Team Player
Calvo’s Insurance Underwriters, Inc. is an Affirmative Action and Equal Opportunity Employer.
