PURPOSE:

Responsible for answering member, provider & broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment. Proactively provides information and education to members, providers & brokers, as appropriate, about a variety of health, financial, and self-service programs. Provides basic technical assistance and troubleshooting guidance for digital and electronic applications.

ESSENTIAL FUNCTIONS:

• 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.
• Delivers accurate information to customers in accordance with performance goals and objectives
• Maintains customer records by updating account information by effectively utilizing the business areas enrollment/inquiry tracking system & processes

If you would like to be referred for this opportunity you must registered on MWE Maryland Workforce Exchange. Below is the link

Maryland Workforce Exchange - Maryland.gov

https://mwejobs.maryland.gov