Customer Service Representative

Harris Computer; Nevada (IA); On-site; USD 22,000 - 26,000; Full time

Job summary

Harris Computer's eNoah division is hiring a Life and Health Claims Customer Service Representative in the United States. You will adjudicate inquiries, interpret contract benefits, and communicate with policyholders, providers, agents, and attorneys with a professional approach.

The role involves documenting calls, transferring inquiries to appropriate departments, and maintaining a concise audit trail while supporting cross-training efforts to meet service standards.

Qualifications

• Experience interpreting contract benefits and adjudicating inquiries.
• Ability to provide accurate claim status to policyholders and providers.
• Strong written and verbal communication in a customer-service setting.

Responsibilities

• Interpret contract benefits accurately to policyholders and providers.
• Provide claim status to policyholders or providers.
• Answer calls in a helpful, professional manner.
• Place outgoing calls to obtain or provide information.
• Document all calls during progress.
• Transfer calls to other departments as needed.
• Maintain a clear audit trail in the policy file or imaging system.
• Participate in cross-training to maximize team efficiency.
• Communicate with Supervisor and team members to ensure accurate responses.

Skills

Customer service

Communication

Call handling

Documentation

Team collaboration

Tools

Imaging system

Policy file

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