Serves as a point of contact for multiple managers, coworkers and directors for member escalation issues.
Assists co-workers in achieving higher stats by listening to calls and providing feedback to representative, per manager request.
Assists management with process improvement recommendations to ensure service metrics are exceeded.
Evaluates performance of direct reports and provides summary to manager.
Responds to internal and external customer questions via telephone, chat and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
Customer Service Representative II
Anthem INC
09.2006 - 12.2006
Analyzed problems and provided information/solutions. Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database.
Responded to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
Performed research to respond to inquiries and interprets policy provisions to determine the extent of company's liability and/or provider's/beneficiaries entitlement.
Generates written correspondence to customers such as members, providers and regulatory agencies.