Call Center Representative

Job Description

Job Description

FTS is looking for a Medical Call Center Representative in Rockville for a health benefits organization that serves union members, retirees, and their families.

Responsibilities

• Provide friendly, professional, and empathetic service by phone, email, in person, and through written correspondence
• Answer questions regarding eligibility, benefits, claims, self-payments, and other plan-related matters
• Research participant questions and concerns to identify accurate answers and effective solutions
• Explain claim payments and help participants understand why a claim may have been denied
• Verify eligibility and benefits and coordinate eligibility updates with outside vendors
• Collaborate with internal departments, providers, vendors, and employers to resolve participant concerns
• Accurately document participant interactions and maintain clear, complete records
• Assist with enrollment forms, working spouse forms, disability claims, special fund claims, and other participant-related processes

Qualifications

• Minimum of 1 year of customer service experience
• Minimum of 1 year of insurance carrier, or healthcare experience
• Typing speed of at least 40 words per minute
• High School Diploma required
• Excellent written and verbal communication skills
• Proficiency in Microsoft Office
• Strong dependability, including timely arrival and consistent attendance

Experience:

• Call Center: 1 year (Preferred)

Work Location: In person