Job Details

We're seeking a Member Services Agent to join our team and provide excellent customer service to internal and external clients. In this role, you will use your in-depth knowledge of our products and programs to assist customers over the phone with Rx claims, billing complaints, and other inquiries. You'll be responsible for meticulously documenting all interactions, escalating unresolved issues to the appropriate departments, and ensuring customer problems[ "Key responsibilities include:n - Providing information about prescription (Rx) claims processing via telephone.n - Maintaining detailed records of customer interactions, including inquiries,ncomplaints, and actions taken.n - Following up with customers to ensure their problems are resolved.n - Reviewing Rx insurance policy terms to determine claim coverage for employerngroups.n - Contacting customers to provide claim investigation results or inform them ofnplanned adjustments.n - Resolving customer service or billing compl...Member Service, Healthcare, Agent, Customer Service, Health, Retail, Staffing