Customer Service Associate
ACE Insurance
Total years of experience :0 years, 6 Months
Investigate and process insurance claims filed by policyholders
Assess submitted documents to gather pertinent information
Handle and process variety of claims including hospitality and personal injury claims
Verify that coverage applies through an insurance policy
Consult with physicians to get expert evaluation
Examine photographs and statements
Evaluate all information to determine how claim should be handled
Negotiate with claimant to settle claim
Issue payment amounts
Call Center Agent
HMO Outbound Support
Contact Healthcare Carriers to check the status of the claims on behalf of our customers
Document conversation with Customer Service Agents in our in-house system
Follow standard processes and procedures
Follow up with the Healthcare insurances until required documents are received
Deliver service and support to end-users using and operating automated call distribution phone software, via remote connection or over the internet
Interact with customers to provide and process information in response to inquiries, concerns, and request about products and services
Gather customer’s information and determine the issue by evaluating and analyzing the symptoms
Diagnose and resolve technical hardware and software issues involving internet connectivity, email clients and more
Research required information using available resources
Follow standard processes and procedures
Identify and escalate priority issues per Client specifications
Redirect problems to appropriate resource
Accurately process and record call/chat transactions using a computer and designated tracking software
Offer alternative solutions where appropriate with the objective of retaining customers’ and clients’ business;
Follow up and make scheduled call backs to customers where necessary;
Stay current with system information, changes and updates
courses: 6