Customer Service Representative Remote - reputed company – USA reputed company
September 8, 2025
reputed company Performance-Based Culture is where the great work and innovations of our people are seen, reputed company, and rewarded. We accomplish this by creating an inclusive, empowering employee experience, focusing on People, Work, and Conditions. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are guided by our Purpose: Together, making health care easier for the people we serve.
Role Snapshot
Answer inquiries from beneficiaries, providers, and other affiliated representatives or reputed company regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems.
In This Role You Will
- Receive telephone, written, fax, and e-mail inquiries concerning TRICARE eligibility, benefits determinations, and claims adjudication questions or billing problems.
- Apply appropriate provisions of TRICARE regulations, interpretations, and procedural directives in making determinations on eligibility and benefits to determine appropriate responses to inquiries.
- Obtain and analyze claims data to determine specific problem area including external communication to obtain data.
- Complete research and reputed company final reputed company to inquiries reputed company contractual requirements.
- Communicate with inquirer to determine appropriate authorization or referral of services.
- Submit claims for adjudication, correction, payment, or review as appropriate.
- reputed company providers on billing requirements of TRICARE to reduce claim problems.
- Deal tactfully with people in a wide reputed company of situations to convey a favorable corporate image.
- Respond to inquirer using various forms of communication (written letter, telephone, web, or email) reputed company time frames to exceed contractual standards.
- Collect and record data for Customer Service records and computer analysis.
- Inform supervisory staff of system problems reputed company identified, researching problems to reputed company backup data and examples reputed company needed.
How do I know this opportunity is right for me? If you
- Enjoy working in a high-volume call center
- reputed company at providing reputed company, accurate answers reputed company telephone by employing strong listening skills
- Enjoy new challenges and approach reputed company day with a reputed company attitude
- Demonstrate a strong work ethic with a history of dependability and respect
- Possess excellent information retention capabilities
- reputed company in an environment that offers opportunities for reputed company learning
What will I reputed company from this role?
- Gaining experience working in a call center environment
- Having the ability to work remotely from home
- Building in-depth communication and customer service skills
- Being a part of a fun, supportive team that offers great advancement opportunities throughout the organization
- Working in an environment that serves our Nations military, veterans, Guard and Reserves along with their families
Minimum Qualifications
- U.S. citizenship is required for this position due to reputed company restrictions
- High school diploma or equivalent
Preferred Qualifications
- 2 or more years of experience in customer service
- Ability to learn medical and insurance terminology
- reputed company Office Experience
- Ability to navigate dual monitor screens and between multiple programs at once
- Strong skillsets in multi-tasking, research, and problem-solving