Customer Service Representative

Harris Computer; Idaho; On-site; USD 21,000 - 28,000; Full time

Job summary

eNoah, a Harris Computer company, seeks a Life and Health Claims Customer Service Representative to adjudicate telephone and written inquiries and interpret contract benefits per guidelines.

You will maintain relationships with policyholders, providers, agents, attorneys and internal teams, ensuring accurate documentation and audits while supporting service standards through cross-training and collaboration.

Qualifications

• Experience in customer service with a focus on claims or benefits.
• Ability to adjudicate inquiries with careful judgment and timeliness.
• Strong communication with policyholders, providers and internal teams.

Responsibilities

• Interpret contract benefits accurately for policyholders, agents and providers.
• Provide claim status updates to policyholders or providers.
• Answer incoming calls in a helpful, professional, timely manner.
• Place outgoing calls to obtain or provide information.
• Document all calls and interactions for audit trail.
• Route calls to appropriate departments to meet customer needs.
• Maintain clear documentation in the policy file or imaging system.
• Participate in cross-training and team training to maximize efficiency.
• Communicate with supervisors and team members to ensure accurate responses.

Skills

Customer service

Communication

Attention to detail

Multitasking

Claims processing

Tools

Claims processing system

Job description

eNoah, a Harris Computer company, is seeking a Life and Health Claims Customer Service Representative.
In this position you will examine, perform research and make the decisions necessary to properly adjudicate telephone and written inquiries. Interpret contract benefits in accordance with specific claims processing guidelines. Communicate problems identified relevant to the claims processing system to the appropriate people.
Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decisions. Maintain external contacts with policyholders, providers of service, agents, attorneys and other carriers as well as internal contacts with peers, management, and other support areas with a
positive and professional approach.

• 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.

Hourly Rate - $17.00