The Customer Service Associate Representative provides support to participants, clients, and providers by answering inquiries related to group health benefits and claims payments. The role also includes researching claims, documenting interactions, and assisting team members as needed.
Essential Job Functions
Answer telephone calls from plan participants, group contacts, and providers regarding benefits and claims.
Provide clear, accurate, and timely responses to information requests.
Document all calls in Chronolog by summarizing key points of each conversation.
Return messages from designated voicemail boxes.
Read, interpret, and apply plan documents, new amendments, and updates for multiple clients.
Meet with clients as needed to assist with questions about their health benefit plans.
Support team members and cross‑functional partners as requested.
Log faxed cl...