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Claims Research & Resolution Representative
Job Description & How to Apply Below
Employer Industry: Health Insurance Services
Why consider this job opportunity- Salary up to $52,300 per year
- Opportunity for career advancement and growth within the organization
- Work remotely from the comfort of your home
- Comprehensive benefits package including medical, dental, vision, and 401(k) retirement savings plan
- Supportive and collaborative work environment that values associate engagement and well‑being
- Virtual training and professional development opportunities provided from day one
- Manage inbound calls to address customer needs, including complex financial recovery and issue resolution
- Record detailed notes of inquiries, comments, and transactions, taking appropriate action
- Escalate unresolved customer inquiries and issues to the appropriate departments
- Interpret departmental policies and methods to complete assignments effectively
- Work independently while following defined parameters and quality standards
- 1 or more years of call center or telephonic customer service experience within the past 5 years
- Previous healthcare‑related experience or education
- Basic proficiency in Microsoft Office (Word, Excel, Outlook, and Teams)
- Strong technical skills to work across multiple software systems
- Ability to manage multiple priorities and maintain confidentiality while working remotely
- Bachelor's degree
- Prior claims processing experience
- Experience with financial recovery and over payment issues
- Familiarity with Mentor software
- Experience in Pre Pay or Post Pay processes
#Health Insurance #Customer Service #Remote Work #Career Growth #Employee Benefits
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