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Harris healthcare

Claims CSR

Posted Yesterday
In-Office or Remote
45 Locations
Entry level
In-Office or Remote
45 Locations
Entry level
The Claims CSR role involves interpreting contract benefits, providing claim status, answering calls, documenting interactions, and ensuring accurate communication with policyholders and team members.
The summary above was generated by AI

• Interpret contract benefits accurately to policyholder, agents, and providers with a positive and professional approach.

• Provide claim status to policyholders or providers with a positive and professional approach.

• Answer calls as required by company policy in a helpful, professional, timely manner.

• Place outgoing calls as needed to provide or obtain information.

• Document (written/on-line) all calls while in progress.

• Transfer calls to employees in other departments as required to meet customer needs.

• Fully document policy file or imaging system with all related material so as to leave a clear and concise audit trail.

• Actively participate in cross training and group training sessions to maximize team efficiency and maintain or exceed service standards.

• Communicate openly with Supervisor, Team Lead and other team members to ensure accurate responses and avoid duplication of efforts.

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