What are the responsibilities and job description for the TRICARE CLAIMS CUSTOMER SUPPORT REPRESENTATIVE position at International SOS?
Overall Purpose of the Role
NOW HIRING FOR MARCH 17TH START DATE IN SAN ANTONIO, TX!
HIRING FOR : OVERNIGHT SHIFT
The Claims Customer Support Representative, based in San Antonio, Texas is the first point of contact for the client, providing a full range of operational support to those seeking access to the TRICARE Overseas Program (TOP). Responding to inbound calls or contact from our beneficiaries based around the world, either current or former members of the US military and their families, who want to access medical services.
Schedule : Training will be for the first 7 weeks M-F (8A-5P). After 7 weeks of training, this team then will break out into their official schedule of 4x10 hour days a week. You may be schedduled any day of the week Sun-Sat (they may not be consecutive days). All employees are required to work 1 weekend / month 3 holidays per year (days worked and days off may not be consecutive)
This position is fully office based.
Key Responsibilities
- To assist beneficiaries and providers with claims enquiries and help resolve problem cases, either one and one or by referral to dedicated In Country and / or regional claim resources.
- Resolve claims issues on behalf of providers and beneficiaries, working with Intl.SOS teams and WPS to ensure timely and accurate resolution.
- Answer all incoming calls promptly using the prescribed protocols and ensuring complete resolution.
- Make outbound calls to follow up with beneficiaries and providers on claims queries, when appropriate.
- To work with Intl.SOS teams and designated government points of contacts to ensure TRICARE claims processes and benefits rules are understood and communicated accurately to beneficiaries
- Actively promote electronic claims submission and payment solutions and other self-servicing products.
- Demonstrating a professional, positive, caring, and empathetic approach when assisting callers.
- Maintains confidentiality of all beneficiary information.
- Maintain specific quality and quantity standards.
- Adhere to company policies and procedures at all times.
- Assist with the training of new staff by mentoring them during their training program upon request.
- Comply within established service recovery protocol.
- Attends and participates in International SOS staff meetings and educational offerings.
- Carrying out any other reasonable duties as requested by the manager.
Required Qualifications
Required Work Experience (Brief description of the job-related experience needed to perform the job)
Required Qualifications (Brief description of the educational background needed to perform the job)
International SOS will facilitate)
Required Languages (Brief description of the language skills needed to perform the job)
This job description outlines the types of responsibilities the incumbent is required to perform.The incumbent may be required to perform job related tasks other than those specifically presented in this job description. This job description is subject to regular review.
International SOS is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state and local laws.
