04/08/2026
As a Customer Service Representative, you interact with customers to provide information in response to inquiries about claims. This is a front line position in our medical department and is crucial in setting the tone for fulfilling our promise of providing exceptional white-glove service to our claimants and callers. You will use your independent judgment and communication skills to obtain information and relay information to claimants and providers. Responsibilities include: Answering incoming telephone calls. Required to login into phone queues (as assigned) daily. Providing eligibility and claim information to medical providers and members. Reviewing and interpreting plan certificates to determine covered benefits and limitations/exclusions. Investigating claim payment issues. Research PPO websites/database as required to determine if claims are received and processed by the PPO network. Document telephone call reason and details in claim system. Monitoring and...
One80 Intermediaries
Remote, OR
Full Time
