Customer Service Representative I – Claims
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Job Description
Customer Service Representative supporting Geisinger Health Plan by handling claims issues and ensuring customer satisfaction through effective communication. Requires remote work conditions suitable for Pennsylvania residents.
Responsibilities:
- Assists in resolving customer concerns and maintaining customer satisfaction
- Actively participates in cross training and improving processes within the Customer Service team
- Resolves and reconciles enrollment reports and related eligibility issues
- Initiates communication with newly enrolled Health Plan members
- Interprets rules and regulations in contractual agreements
- Performs membership data extract reports for employer groups
- Determines eligibility of members and processes terminations
- Prepares and disseminates communications regarding enrollment activity
- Reviews suspended claims for resolution and provides support to staff
Requirements:
- High School Diploma or Equivalent (GED)- (Required)
- Minimum of 1 year-Customer Service (Required)
Benefits:
- healthcare benefits from day one, including vision and dental
- benefits for domestic partners
- atmosphere of collaboration and collegiality
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