Customer Support Representative Voice HMO Claims

We are seeking a skilled and customer-oriented Customer Support Representative with experience in HMO/healthcare claims. The role involves handling voice calls, assisting members with their healthcare benefits, and resolving claims-related concerns while delivering excellent customer service.

Position Responsibilities

• Handle inbound and outbound calls related to HMO inquiries and claims
• Assist members with benefit verification, eligibility, and claims status
• Explain coverage, policies, and procedures clearly and accurately
• Resolve customer concerns regarding claims processing, billing, and reimbursements
• Escalate complex or unresolved issues to the appropriate department
• Accurately document call details and transactions in the system
• Ensure compliance with company policies and healthcare regulations
• Maintain high-quality service standards and meet performance metrics

Pos...