Phone Claims Analyst

Job Summary

A company is looking for a Phone Claims Analyst (Supplemental Health) to evaluate claims and provide customer service in a remote setting.

Key Responsibilities

• Determine claim benefits payable based on medical information and contract language
• Communicate with customers to obtain claim information and explain claim handling
• Provide effective customer service through various channels and resolve requests

Required Qualifications, Training, and Education

• Ability to work independently and collaboratively in a team environment
• Proficient in computer systems and data entry, with good keyboarding skills
• Shows a sense of urgency and accountability for work results
• Ability to assess customer needs and demonstrate flexibility in responses
• Must have access to high-speed internet and be located in the United States or Puerto Rico