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Position Summary
Responsibilities/Duties ·
Customer Service Representative
Position Summary
The Direct Dropout Claim Specialist is responsible for processing & Reviewing claims to determine eligibility. Tampa based position.
Responsibilities/Duties ·
- Work in a team environment and in collaboration with client partners
- Responsible for processing claim applications, determining eligibility, processing member maintenance tasks and any required changes.
- Documenting required information into the system where applicable
- Meeting production and quality standards consistently while in an office and/or remote environment is required.
- Multiple Job task within each role outlined may be assigned at times. · Should be organized, maintain high quality work and detail-oriented.
- Ability to think independently, make decisions, and be productive while adhering to company standards and guidelines.
- Must be driven and motivated to exceed individual and team goals.
- Should always maintain professional email/chat etiquettes.
- Professional behavior with courteous, polite, and energetic qualities
- Required overtime where applicable (no exceptions)
- Satisfactory attendance is a must - First 90 days no time missed.
- Meet Minimum dress code requirements while attending office for training and/or system set up.
MUST HAVE
- This position is required to be working from office for all working days (Monday-Friday for the duration of the training, once training is completed, the role will be working remote) ·
- High commitment to report and work at scheduled shift time and always staying in communication with Supervisor/Team Lead.
- Ability to work flexible schedules (Monday – Sunday ie 5 work days with 2 days offs)
- Must be able to react quickly and proactively in a rapidly changing and dynamic work environment.
- Background checks and documentation should be passed
Qualifications
- HS Diploma/GED (will be verified)
- Minimum 1 year’ of work experience preferred.
- Data Entry or backend processing work experience preferred.
- Prior Claims processing/Customer Service experience helpful but not required.
- Must have good reading and analytical/problem solving capabilities.
- Must be computer literate with basic understanding of connecting cables/USB functionalities.
- Good communication and written skills
- Typing speed of min 30 wpm with 90% accuracy
- Must be able to furnish all paperwork/documentation on background check.
- Demonstrates knowledge of the business and applicable operational platforms
