Claims SupportCustomer Service Representative

Joplin, MO - USA

Monthly Salary: $ 30000 - 33000

Posted on: 13 hours ago

Vacancies: 1 Vacancy

Job Summary

Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. Our commitment and partnership means thinking beyond the typical solutions in the market to do more for clients and take them beyond the standard Point A to Point B. We have researched the most effective cost containment strategies and are driving down the cost of plans with innovative solutions such as network and payment integrity pharmacy benefits and care management. There are many companies with a mission. We are a mission with a company.

The Claims Support / Customer Service Representative plays a key role in supporting Point Cs claims operations by providing exceptional customer service and administrative support. This position is responsible for assisting members clients and internal teams with claims-related inquiries maintaining accurate records and ensuring timely processing and distribution of documentation. The ideal candidate is detail-oriented organized and committed to delivering a high level of service in a fast-paced collaborative environment.

Primary Responsibilities

Serve as a first point of contact by answering incoming calls assisting callers with claims-related inquiries and routing calls as needed.
Provide high-quality customer service to members clients and internal stakeholders via phone email and written correspondence.
Support claims operations by repricing health claims creating and distributing documentation and maintaining accurate databases and records.
Manage incoming and outgoing correspondence including mail faxes and electronic communications.
Collect file organize and maintain confidential office and claims-related documents in both physical and digital formats.
Ensure proper handling of sensitive and encrypted documents in compliance with company policies and privacy requirements.
Assist with general administrative tasks to support efficient day-to-day office and claims operations.

Qualifications

Strong written and verbal communication skills including the ability to actively listen and clearly explain information.
Excellent organizational and time-management skills with the ability to prioritize tasks and manage multiple responsibilities.
Demonstrated customer service skills with a professional positive and empathetic approach.
Proficiency with basic computer applications including word processing spreadsheets email and database systems.
High attention to detail and accuracy when handling data and documentation.
Ability to work independently with minimal supervision while also collaborating effectively as part of a team.

Individual compensation will be commensurate with the candidates experience and qualifications. Certain roles may be eligible for additional compensation including bonuses and merit increases. Additionally certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role.

Pay Transparency

$30000 - $33000 USD

Benefits:

Comprehensive medical dental vision and life insurance coverage
401(k) retirement plan with employer match
Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
Paid time off (PTO) and disability leave
Employee Assistance Program (EAP)

Equal Employment Opportunity: At Point C Health we know we are better together. We value respect and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our businessand our societystronger. Point C Health is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices including selection hiring performance management promotion transfer compensation benefits education training social and recreational activities to all persons regardless of race religious creed color national origin ancestry physical disability mental disability genetic information pregnancy marital status sex gender gender identity gender expression age sexual orientation and military and veteran status or any other protected status protected by local state or federal law.

Required Experience:

Unclear Seniority

Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. Our commitment and partnership means thinking beyond the typical solutions in the market to do more for clients and take them beyond the standard Point A to Point...

Primary Responsibilities

Serve as a first point of contact by answering incoming calls assisting callers with claims-related inquiries and routing calls as needed.
Provide high-quality customer service to members clients and internal stakeholders via phone email and written correspondence.
Support claims operations by repricing health claims creating and distributing documentation and maintaining accurate databases and records.
Manage incoming and outgoing correspondence including mail faxes and electronic communications.
Collect file organize and maintain confidential office and claims-related documents in both physical and digital formats.
Ensure proper handling of sensitive and encrypted documents in compliance with company policies and privacy requirements.
Assist with general administrative tasks to support efficient day-to-day office and claims operations.

Qualifications

Strong written and verbal communication skills including the ability to actively listen and clearly explain information.
Excellent organizational and time-management skills with the ability to prioritize tasks and manage multiple responsibilities.
Demonstrated customer service skills with a professional positive and empathetic approach.
Proficiency with basic computer applications including word processing spreadsheets email and database systems.
High attention to detail and accuracy when handling data and documentation.
Ability to work independently with minimal supervision while also collaborating effectively as part of a team.

Pay Transparency

$30000 - $33000 USD

Benefits: