Claims/Customer Service Rep

Posted 5 days ago

health plan of west virginiaCharleston (WV)

SENIORITY

Junior

Apply

About the role

CDS Representative The CDS Rep is responsible for all aspects of processing payment requests for all Consumer Driven Product lines as well as answering customer telephone calls and inquiries in a prompt and professional manner.
Required: High School graduate or equivalent. Motivated and works independently. Detail oriented with good problem solving skills. Ability to prioritize and meet deadlines. Proficient in basic math skills. Proficient in Microsoft Office products. Adaptable to changes. Desired: Two (2) years experience in a call center environment. Familiar with insurance terminology. Knowledge of FSAs, HRAs and/or HSAs.
Requirements: Claims and/or calls workload management. Proficient use of necessary applications to perform various job functions. Establish adequate proficiency in claims and customer service processing systems. Meet requirements on annual performance displays a positive attitude and acceptable attendance. Document calls according to departmental guidelines. Strategic in call additional assigned tasks and complete them in a timely manner.
Equal Opportunity Employer: The Health Plan is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. The Health Plan strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. The Health Plan employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.8:00am - 5:00pm 40

Before you apply

Applying takes about a minute. These four things decide how fast it moves after that.

Your profile is current

It's what we read first. Occupations, seniority and locations matter more than a long history.

Two examples you can talk through

Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.

A number in mind

What you're on now and what would make you move. We negotiate better when we know both.

Your notice period

Employers plan around it, and it's the question that stalls offers most often.

Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.

More like this