Customer Service Associate Representative

Job Overview

Job Title:

Customer Service Senior Representative

Location:

Memphis, TN 38134 (Flex/Hybrid - Must be able to report onsite)
Duration: 4 Months

• Training: 8:00 AM - 5:00 PM CT
• Regular Shift: 10:00 AM - 7:00 PM CT

• Candidates must have a quiet and private working environment.
• Expected to take inbound and outbound calls during their entire shift.
• Candidates must have a hard-wired internet connection;
  Wi‑Fi will not suffice.

• Delivers specific delegated Customer Service tasks assigned by a supervisor.
• Receives requests by mail, telephone, or in person regarding insurance claims/policies. Responds to inquiries from policyholders, providers, and/or others for information and assistance. Performs research to respond to inquiries and interprets policy provisions to determine most effective response.
• Mails or routes claim forms and supporting documentation to various units for final processing. Position typically requires excellent interpersonal skills and the ability to understand and interpret policy provisions.
• Independently responds to inquiries, grievances, or complaints of moderate to substantial complexity.
• Completes day-to-day tasks without immediate supervision but has ready access to advice from more experienced team members.
• Tasks involve a degree of planning and anticipation of needs/issues. Resolves non-routine issues escalated from more junior team members.

• Previous experience in the healthcare industry 1+ years with third‑party benefits verification experience preferred.
• Basic knowledge of Outlook, Excel, Word, MS Office, SharePoint required
  .
• Excellent verbal and written communication skills.
• Ability to interpret and appropriately follow policies, procedures, manuals, and written instructions as given.
• Demonstrated ability to handle challenging situations professionally.
• Willingness to work varying tasks.
• Knowledge of healthcare, pharmaceuticals, and services a plus.

• Attention to detail
• Knowledge of Third‑Party Insurance Carrier Processes
• MUST have experience taking inbound and outbound calls (30 calls per day)

• High School diploma and at least 1+ years of customer service, insurance verification or related area required.