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...