Customer Service Representative-Customer Care Non-Voice-Back-End/Non Voice Transaction Processing Complex

About the role

You will communicate with customers to explain claim filing requirements and handle inquiries across multiple product lines.� Your role includes documenting calls, completing follow-up work, and identifying potential risks such as fraud. You will analyze incoming documents to determine claim eligibility, calculate benefit amounts, and approve payments.

What you'll do

• Be responsible for identifying, investigating, and evaluating critical information to accurately adjudicate claims
• Communicate with customers to explain claim filing requirements and handle inquiries across multiple product lines.�
• Resolve claims adjudication issues, manage calls with various stakeholders, ensure accurate tax reporting, and maintain detailed claim files
• Work harmoniously within a team, handle multiple computer systems, and perform mathematical calculations

What you need

• Customer service
• Claims processing
• Communication