Policy & Claims Support Specialist

Mass Digital Health; Massachusetts; On-site; USD 38,000 - 52,000; Full time

Job description

• 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.