Respond to incoming calls, emails, faxes, and requests from customers, providers, underwriters, and internal associates; complete callbacks to clients, providers, in order to provide information and resolve customer service issues.
Interpret policies, and fully explain benefit coverage to customers regarding policies, benefits, and claim status.
Process stop payments and re-issue cheques to ensure that the customer or provider received the correct payment.
Perform administrative tasks such as opening short cut cases, printing out daily reports, sending forms, updating deferral code status to ensure quality control.