Position: Customer Engagement - Advocate
Location: Reston, VA #HYBRID
Duration: 12 months #Contract
Rate: $20/hr
Job Description :
Top 5 Required Skills :
1. Strong Communication Skills:
2. Technical Proficiency:
3. Emotional Intelligence and Patience:
4. Attention to Detail:
5. Knowledge of Medicare Guidelines:
ESSENTIAL FUNCTIONS :
45% Provides first- level problem resolution to member, provider & broker inquiries via telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as liability, validate customer understanding of information and resolves issues based on applicable policies and procedures.
25% Uses knowledge of products and the contractual provisions that govern administration to provide customer service and education, to interpret contractual language to the customer for the purpose of providing benefit utilization and limitations, to determine the need for managed care initiatives, and to administer all types of services to customers within the business segment through telephonic inquiries, written and/or electronic inquiries and claims adjustments, if applicable. Appropriately documents all client interactions according to established departmental procedures.
15% Delivers accurate information to customers in accordance with performance goals and objectives.
10% Maintains customer records by updating account information by effectively utilizing the business areas enrollment/inquiry tracking system & processes.
5% Participates in ongoing education related to new services, industry topics, and skills.
Thanks & Regards,
--
LAXMAN
Team Lead - Talent Acquisition
KMM Technologies, Inc.
CMMI Level 2 | ISO 9001 | ISO 20000 | ISO 27000 Certified
WOSB, SBA 8(A), MDOT MBE & NMSDC MBE
Contract Vehicles: 8(a) STARS III & Schedule 70
Tel: (240) 800-0039 |Email: lax@kmmtechnologies.com
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