ALLEGIANCE BENEFIT PLAN MANAGEMENT Health Customer Service Representative in HELENA, Montana
*Note: Recruiting in the Missoula, Hamilton and Helena areas.POSITION RESPONSIBILITIES: The Customer Service Representative answers telephone inquiries from plan participants, client contacts, and providers regarding self-funded and partially self-funded group health benefits and/or the fully insured product. The incumbent is also responsible for claims payment research. The incumbent is expected to communicate professionally with peers, supervisors, subordinates, vendors, customers, and the public, and to be respectful and courteous in the conduct of this position. ESSENTIAL JOB FUNCTIONS: Essential job functions include the following. Other functions may be assigned as business conditions change. Answer telephone calls from plan participants, group contacts, and providers pertaining to benefits and claims inquiries. Provide clear and accurate responses to requests for information. Document all calls into Chronolog (by typing in highlights of the conversation) for future referral. Return messages left in designated voice mailboxes. Read and interpret plan documents for numerous clients, review new documents and amendments as added Meet personally with clients as necessary to assist with questions pertaining to their health benefit plan. Assist team members as requested. Log faxed claims (type information faxes received in Chronolog). Return misdirected claims to appropriate provider as received. Assist members with website Meet or exceed company standards for production and quality. Contribute to the daily workflow with regular and punctual attendance.*Note: This positon also includes a Montana Registered Apprenticeship option upon hire.