Customer Service Representative

🔥 14 hours ago

🏈 Alabama, Alaska, +41 more states – Remote

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💵 $17 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of Harris Computer

Harris Computer

10,000+ employees

Founded 1993

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Harris Computer is a company that provides mission-critical software solutions across various industries, including the public sector, healthcare, utilities, and private sector verticals. They focus on acquiring businesses with growth potential, managing them effectively, and building them for future success. Harris Computer serves over 100,000 customers with a global presence in North America, Europe, Asia, and Australia, employing over 12,000 people. Their mission is to empower customers to deliver on their goals by offering tailored software and services.

📋 Description

• Examine, research, and make decisions required to adjudicate telephone and written inquiries • Interpret contract benefits in accordance with claims processing guidelines • Communicate claims processing system problems to appropriate personnel • Receive, organize, and use information about benefits, contract coverage, and policy decisions • Maintain professional contacts with policyholders, service providers, agents, attorneys, other carriers, peers, management, and support areas • Explain contract benefits accurately to policyholders, agents, and providers • Provide claim status information to policyholders and providers • Answer calls in a helpful, professional, and timely manner • Place outgoing calls to provide or obtain information • Document all calls while in progress • Transfer calls to other departments to meet customer needs • Fully document policy files or imaging systems to maintain a clear and concise audit trail • Participate in cross-training and group training sessions to maximize team efficiency and maintain or exceed service standards • Communicate with supervisors, team leads, and team members to ensure accurate responses and avoid duplicated efforts

🎯 Requirements

• Ability to examine, research, and make decisions necessary to adjudicate telephone and written inquiries • Ability to interpret contract benefits according to claims processing guidelines • Ability to communicate identified claims processing system problems to appropriate personnel • Ability to work with benefits, contract coverage, and policy decisions information • Ability to maintain professional contacts with policyholders, providers, agents, attorneys, other carriers, peers, management, and support areas • Ability to participate in cross-training and group training sessions • Ability to communicate openly with supervisors, team leads, and team members • Ability to answer calls according to company policy • Ability to document calls and policy files accurately

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