Customer Service Representative I - Claims, Geisinger Health Plan (Pennsylvania resident)

About this kind of role

What a Customer Service Representative I - Claims, Geisinger Health Plan (Pennsylvania resident) usually does. The employer's own details are in the listing.

Typically does: Handles incoming calls and written correspondence from members and providers regarding healthcare claims. Reviews claim information, researches claim status, and provides accurate and timely updates to inquiries. Processes claim-related requests, such as re-submitting claims or initiating claim investigations. Escalates complex issues to senior team members or specialized departments as needed.

Tools and skills: Proficiency in computer applications, including Microsoft Office Suite, claims processing systems, and customer relationship management (CRM) software, along with strong communication, problem-solving, and active listening skills are generally required.

Good fit for: Individuals who are detail-oriented, empathetic, and enjoy helping others while working in a fast-paced environment often thrive in this role.