Travel Claim Examiner, Customer Service Representative
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Job Description
Travel claims representative processing insurance claims for One80 Intermediaries, a specialty insurance distribution platform. Handling claimant calls, assessing coverage, and delivering white-glove service.
Responsibilities:
- Independently process travel claims in accordance with associated policies
- Read, analyze, and interpret business materials, technical procedures, benefit plans, and regulations
- Handle incoming calls from and make outgoing calls to claimants and suppliers
- Gather essential information and assess coverage eligibility
- Communicate findings to claimants and provide professional customer service
- Meet established quantity and quality claims-processing performance standards
- Maintain current knowledge of Plans and apply it to claims payment and customer service
- Maintain HIPAA compliance
- Function independently within established guidelines
Requirements:
- Effective time management skills
- Ability to function independently within established guidelines
- Excellent interpersonal, verbal, and written communication skills
- Intermediate skill level in Microsoft Office programs
- Problem/issue resolution capability
- Ability to work effectively in a fast-paced team-based environment
- Ability to read, analyze, and interpret business materials, technical procedures, benefit plans, and regulations
- Ability to maintain HIPAA compliance
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