Customer Service Representative II

A company is looking for a Customer Service Representative II (Adjudication).

Key Responsibilities

Review, input, and adjudicate claims accurately in compliance with program specifications

Research and resolve escalated and complex claim issues in a timely manner

Maintain and document all claimant information and communications in the CRM system

Required Qualifications

2+ years of contact center experience preferred

High school diploma or equivalent required

Experience with electronic data management between various environments

Prior experience with PHI or HIPAA preferred

2+ years of college preferred