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

Calvo's Insurance Underwriters, Inc. jobs

26-03-12211722168 | Customer Service Representative