Admin comes Customer Service supervisor
Alfaone Logistics L.L.C
Total years of experience :3 years, 2 Months
Keep records of customers interactions, recording details if inquires, complaints, comments, as well as actions taken.
Confer with customer by telephone to provide information about service, enter orders and obtain details of complaints.
Determine charges for service requested and send price quotation.
Refer unresolved customer grievances to designated dept., for further investigation.
Contact customers to respond to inquiries or to notify them of claim investigation result or any planned adjustments.
Resolves customers’ service or billing complaints by performing activities such as refunding money and adjusting bills.
Complete contact forms, perform change of address records or issue service discontinuance orders, using computers.
Recommend improvements in products, packaging, shipping, service and procedures to prevent future problems.
Solicit sales of new or additional services or products.
By contributing customer service information and recommendations about the shipment details.
Maintains smooth and reliable business relationship with our clients.Tracking truck status till reach the destination smoothly.
Answering to customer calls for all clarifications and more assistance.
Cross checking customer’s invoice details and all.
Complete roles and responsibilities of my previous job.
Greeting our provider or Member
Request them to verify member ID (it can be 6 digits or so)
Verifying type of plans (There are different types of plans like Individual plan, Family plan, Students plan etc., )
Effective date and expire date of plan
Verifying networker (may be Cigna ppo, Medcost, One net etc)
These are the things mandatorily verify to our provider.
Second part of the call is about the provider’s queries.
There will two types of question.
Question can be regarding to benefits or claim status.
Benefits
There are list of benefits will be covered under plan coverage but in some exceptional case some benefits will not be covered as per underwriting of the plan doc.
So by reviewing the plan document a customer care agent can verify the benefits.
Claims
Provider call to verify the claim status whether the cheque has been posted to the correct Po.Box
And what was the amount we paid, cashing and valid date etc.
Have to verify claims mailing address
Providing explanation for non paying claims (CPT codes which they used might not covered under the plan many reasons are there.
Have to verify surgeon information.
Have to verify Authorization needed or not to some service.
Authorization call should transfer to particular network provider, can be cigna, medcost etc.,
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