Customer Service Senior Representative

Immediate need for a talented Customer Service Senior Representative. This is a 06+ Months Contract opportunity with long-term potential and is located in U.S.(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-71964

Pay Range: $17 - $18/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:
 

• Delivers specific delegated Customer Service tasks assigned by a supervisor. Receives requests by mail, telephone, or in person regarding insurance claims/policies. 
• Responds to inquiries from policy holders, providers and/or others for information and assistance. 
• Performs research to respond to inquiries and interprets policy provisions to determine most effective response. 
• Mails or routes claim forms and supporting documentation to various units for final processing. 
• Position typically requires excellent interpersonal skills, ability to understand and interpret policy provisions. 
• Independently responds to inquiries, grievances or complaints of moderate to substantial complexity. 
• Completes day-to-day tasks without immediate supervision, but has ready access to advice from more experienced team members. 
• Tasks involve a degree of forward planning and anticipation of needs/issues. 
• Resolves non-routine issues escalated from more junior team members.

Key Requirements and Technology Experience:

• Skills-Attention to detail.
• Knowledge of Third Party Insurance Carrier Processes.
• MUST have experience taking inbound and outbound calls (30 calls per day)
• Previous experience in the healthcare industry 1-2 years with third-party benefits verification experience preferred.
• Basic knowledge of Outlook, Excel, Word, MS Office, SharePoint required
• Previous experience in the healthcare industry 1-2 years with third-party benefits verification experience preferred.
• Basic knowledge of Outlook, Excel, Word, MS Office, SharePoint required.
• Excellent verbal and written communication skills.  
• Ability to interpret and appropriately follow policies, procedures, manuals, and written instructions as given.
• Demonstrated ability to handle challenging situations in a professional manner. 
• Willingness to work varying tasks. 
• Knowledge of healthcare pharmaceutical and services a plus.  
• High School diploma and at least 1-2 years of customer service, insurance verification or related area required.

Our client is a leading Health Insurance Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy .

#prof J2W:CB3