Benefits & Claims Representative

Benefits & Claims RepresentativeStrategic Staffing Solutions has an opening! This is a contract opportunity with our company that must be worked on a W2 only. No C2C eligibility for this position.Beware of scams.

S3 never asks for money during its onboarding process.Location: Baton Rouge, LA 70809Work Schedule: Remote – 100% onsite for training; may be required onsite several times per monthContract Length: 6 MonthsRequired QualificationsExperience:1+ year of customer service or medical office experienceOR completion of BRCC Medical Assistant, Coding & Insurance pathway in lieu of experienceEducation:High School Diploma or equivalentAdditional Requirements:Strong verbal and written communication skills with professionalism and empathyAbility to interpret and explain benefits, claims, and policies clearlyCritical thinking and problem-solving skillsAbility to multitask and manage multiple inquiries in a fast-paced environmentAttention to detail and organizational skillsConflict resolution and ability to remain calm under pressureActive listening and effective questioning skillsProficiency in Microsoft Office and related systemsMust live within 45 miles of Baton Rouge, LAMust have broadband internet service at homeAT&T Air and T-Mobile 5G internet are not compatible with required equipmentMust successfully complete customer service training and demonstrate proficiencyPreferred Qualifications:Call center experienceFamiliarity with healthcare/insurance terminologyResponsibilities:Resolve benefit and claims inquiries from members and providers via telephone and other approved channelsHandle inbound inquiries related to benefits, claims, billing, and eligibilityResearch and resolve customer issues across multiple systems to ensure accuracy of benefits and paymentsRespond to inquiries regarding adjustments, refunds, and payment discrepanciesMaintain up-to-date knowledge of policies, procedures, and regulatory requirementsDocument interactions and ensure completeness and accuracy of informationMeet established customer service performance metrics, including quality, productivity, customer satisfaction, and attendanceDemonstrate ownership of issues and drive First Call Resolution (FCR)Work in a high-volume call center environment, with approximately 95% of time spent on the phoneMay be required to work during emergencies or inclement weatherPerform other duties as assigned within scope