National Health Care Solutions
ABOUT US
Assured Benefits Administrators, Inc. (ABA) is a full-service third-party administrator, or TPA, providing flexible and fully integrated healthcare administration and management solutions across the United States since 1985. We are part of an international healthcare group with more than 35 years of industry experience, and we're fully integrated with our long-term partners, who are recognized as industry leaders.
POSITION SUMMARY
As a Customer Service Representative, you will play a pivotal role in ensuring the satisfaction of our customers by responding to their inquiries, resolving issues, and providing information through inbound telephone communication. Your primary responsibility will be to manage incoming customer service calls professionally, ensuring that each customer's needs are addressed effectively and efficiently.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The essential functions include, but are not limited to the following: Assist members, providers, brokers and other healthcare partners with eligibility and benefit inquiries, claim status, prior authorization status, benefit plan education and other questions and concerns via inbound telephone calls. Research and identify processing inaccuracies in claim payments and route to the appropriate team for claim adjustments. Respond to inquiries via email using professional and proper grammar, punctuation and terminology. Follow-up on customer issues, research problems and process documents necessary to ensure a successful resolution. Stay updated on company policies, procedures, and compliance regulations in the healthcare and insurance industry. Provide clear articulate communication to accurately describe our services to members/providers and collect information. Handle calls and correspondence that are predominantly routine but may require some deviation from standard procedures. Communicate to callers and internal team members with warm, kind and courteous tone, and convey empathy and understanding when necessary. Collaborate with other customer service representatives and departments to address complex member issues and improve overall client and member experience. Perform any other duties that may be requested by supervisor or management. MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)
High School Diploma or equivalent required. 1-2 years experience in the insurance industry Good verbal and written communication skills This position requires a person who has a strong and inherent commitment in providing superior customer service, and can remain calm and communicate clearly and tactfully with both internal and external customers Technically skilled with ability to navigate within multiple systems, including but not limited to Microsoft Outlook and Excel Reliable individual needed with good attendance and ability to adhere to set schedule Ability to remain at desk assisting callers and other assignments as delegated by schedule and supervisor direction. Strong knowledge of commonly used concepts, practices, and procedures with the insurance field
Assured Benefits Administrators, Inc. (ABA) is a full-service third-party administrator, or TPA, providing flexible and fully integrated healthcare administration and management solutions across the United States since 1985. We are part of an international healthcare group with more than 35 years of industry experience, and we're fully integrated with our long-term partners, who are recognized as industry leaders.
POSITION SUMMARY
As a Customer Service Representative, you will play a pivotal role in ensuring the satisfaction of our customers by responding to their inquiries, resolving issues, and providing information through inbound telephone communication. Your primary responsibility will be to manage incoming customer service calls professionally, ensuring that each customer's needs are addressed effectively and efficiently.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The essential functions include, but are not limited to the following: Assist members, providers, brokers and other healthcare partners with eligibility and benefit inquiries, claim status, prior authorization status, benefit plan education and other questions and concerns via inbound telephone calls. Research and identify processing inaccuracies in claim payments and route to the appropriate team for claim adjustments. Respond to inquiries via email using professional and proper grammar, punctuation and terminology. Follow-up on customer issues, research problems and process documents necessary to ensure a successful resolution. Stay updated on company policies, procedures, and compliance regulations in the healthcare and insurance industry. Provide clear articulate communication to accurately describe our services to members/providers and collect information. Handle calls and correspondence that are predominantly routine but may require some deviation from standard procedures. Communicate to callers and internal team members with warm, kind and courteous tone, and convey empathy and understanding when necessary. Collaborate with other customer service representatives and departments to address complex member issues and improve overall client and member experience. Perform any other duties that may be requested by supervisor or management. MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)
High School Diploma or equivalent required. 1-2 years experience in the insurance industry Good verbal and written communication skills This position requires a person who has a strong and inherent commitment in providing superior customer service, and can remain calm and communicate clearly and tactfully with both internal and external customers Technically skilled with ability to navigate within multiple systems, including but not limited to Microsoft Outlook and Excel Reliable individual needed with good attendance and ability to adhere to set schedule Ability to remain at desk assisting callers and other assignments as delegated by schedule and supervisor direction. Strong knowledge of commonly used concepts, practices, and procedures with the insurance field