Customer Service Representative

Harris Computer; New Jersey; On-site; USD 19,000 - 28,000; Full time

Job summary

Harris Computer seeks a Life and Health Claims Customer Service Representative in New Jersey. You will examine inquiries, interpret benefits, and adjudicate claims while maintaining professional communication with policyholders, providers, and agents.

Daily tasks include documenting calls, handling outbound contacts, and ensuring accurate audit trails across the claims system. The role emphasizes cross-training, teamwork, and timely resolution of inquiries, with a focus on maintaining service

Qualifications

• 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.

Responsibilities

• Interpret contract benefits to policyholders, agents, and providers with a positive and professional approach.
• Provide claim status to policyholders or providers.
• Answer calls as required by company policy in a helpful, professional, timely manner.
• Place outgoing calls to provide or obtain information.
• Document all calls while in progress (written/on-line).
• Transfer calls to other departments as required to meet customer needs.
• Maintain a clear audit trail by fully documenting policy files or imaging systems.
• Participate in cross training and training sessions to maximize team efficiency.

Skills

Customer service

Phone support

Written communication

Claims context

Data entry

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