Jobs in Franklin, TN

About the role

· These PART TIME shifts would be 4 or 5 hours between 8 am and 1 pm. Contractors would need to attend training and those will be Full time hours for 4 weeks. · Handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature. · Answers questions and resolves issues based on phone calls/letters from members, providers, and brokers. · Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and brokers. · Explains member's policy benefits and coordination with Medicare

What you'll bring

• · Customer inquiries are of basic and routine nature.
• · Determines applicable coverage provisions and verifies member plan eligibility
• · Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.
• Performs financial data analysis as necessary.
• · Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received
• · Adheres to international privacy policies, practices and procedures
• · The hours may vary.
• The call center is open from 7 am to 8 pm Central Time.
• These PART TIME shifts would 4 or 5 hours between 8 am and 1 pm.
• · CSR must be able to type 30-35 WPM.
• CSR's should have at least a year of Medicaid/ Medicare experience.
• CSR must have Call Center/ Contact Center background.