Customer Care Senior Representative

Job description

Responsibilities

Performs timely and accurate review of electronic records/documentation scanning for completeness of submissions in accordance with established policies. Identifies opportunities and reports on inaccuracies that may be present in reviewed documents Learns CRM system and is able to access different internal online resources to obtain required information in a timely manner. Performing inbound and outbound calls to insurance companies, medical facilities and customers in the US.

Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met Analyzing medical insurance claims for quality assurance Resolving moderately routine questions following pre-established guidelines Performing routine research on customer inquiries.

Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Requirements:

• Proficiency in Microsoft office programs and general computer operations
• Ability to learn and follow basic direction on process
• Must have mastery of the English language, both oral and written
• Must be detail-oriented and organized to maintain accurate records
• Must have the ability to focus and work quickly Able to work independently Sense of urgency in reporting any concerns to immediate supervisor
• High School diploma or equivalent required 1-2 years’ experience working in the medical field preferred Inclusion.

Belonging. Unleashing the power of being unique. At NTT DATA what you do matters. Because here YOU can.