BILINGUAL Claims Research & Resolution Representative 2 - Work at Home - Kentucky

Become a part of our caring community and help us put health first
 The Bilingual Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and resolution of claims. The Bilingual Claims Research & Resolution Representative 2 performs varied activities and moderately complex administrative / operational / customer support assignments. Performs computations. Typically works on semi-routine assignments.

• The Bilingual Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and collection services in the resolution of claims.
• This claims inbound call center is comprised of a group of calls / claims / provider associates researching the resolution to a pending call.
• Decisions are typically focused on interpretation of area / department policy and methods for completing assignments.
• Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization / timing, and works under minimal direction.
• Follows standard policies / practices that allow for some opportunity for interpretation / deviation and / or independent discretion.

Use your skills to make an impact
 

Required Qualifications

• 1 or more years of Call Center or Telephonic customer service experience (in the past 5 years)
• Bilingual (Spanish / English) (see Language Proficiency Testing below)
• Self-reliant; ability to resolve issues independently with minimum supervision
• Ability to use internal system resources (i.e., Mentor) to find a resolution to an issue/respond to an inquiry
• Demonstrated time management and prioritization skills
• Ability to manage multiple or competing priorities
• Strong technical skills with the ability to work across multiple software systems
• Capacity to maintain confidentiality working remotely out of your home
• Basic Microsoft Office (Word, Excel, PowerPoint, and Outlook) skills

Required Work Schedule

Training

• Virtual training starts on …