Claims CSR

• Interpret contract benefits accurately to policyholder, agents, and providers with a positive and professional approach.

• Provide claim status to policyholders or providers with a positive and professional approach.

• Answer calls as required by company policy in a helpful, professional, timely manner.

• Place outgoing calls as needed to provide or obtain information.

• Document (written/on-line) all calls while in progress.

• Transfer calls to employees in other departments as required to meet customer needs.

• Fully document policy file or imaging system with all related material so as to leave a clear and concise audit trail.

• Actively participate in cross training and group training sessions to maximize team efficiency and maintain or exceed service standards.

• Communicate openly with Supervisor, Team Lead and other team members to ensure accurate responses and avoid duplication of efforts.