US Customer Service Agent - Back Office

EXL South Africa · Cape Town, Western Cape

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Job Description

Answers questions to providers related to Benefit Plans, Claims and related topics
To communicate effectively for additional information as needed by providers
Perform accurate data entry
Perform eligibility and benefit verification
Create effective, grammatically correct and compliant written communications and demonstrate effective listening and soft skills, engaging in effective dialogue through proper, clear, and effective verbal communication

Responsibilities

Answers questions to providers related to Benefit Plans, Claims and related topics
To communicate effectively for additional information as needed by providers
Perform accurate data entry
Perform eligibility and benefit verification
Create effective, grammatically correct and compliant written communications and demonstrate effective listening and soft skills, engaging in effective dialogue through proper, clear, and effective verbal communication

Qualifications

Good computer navigation skills
Typing speed of 30 Words per Minute with 95% Accuracy
Well versed with basic functions of Microsoft Office Word, Excel, PowerPoint, Outlook
Ability to work and collaborate effectively with internal customer
Preferred knowledge of medical terminology
Preferred ability to make sound decisions under the direction of Supervisor
Preferred ability to analyze and resolve problems with minimal supervision
Ability to navigate multiple systems and applications
Ability to produce high quality outcomes in a highly productive environment.
Ability to make sound judgments based on available information.
Excellent written and oral communication skills
Strong critical thinking skills and attention to detail
Experience in using email and Web-enabled applications