Claims Customer Support Representative

Job description

Essential Job Duties and Responsibilities: Overall Purpose of the Role The Claims Customer Support Representative would be 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. Key Responsibilities: Required Skills and Knowledge (Brief description of technical knowledge or skills needed to perform the job) Required Competencies (Critical behaviours necessary to successfully perform the job) - 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 qu...