Customer Service Representative

Who we are?

ActionLabs is composed of IT experts committed to providing end-to-end IT services and solutions. We stand at the intersection of technology and partnership, helping enterprises navigate complex IT landscapes with confidence.

With more than a decade of experience, trusted technology partners, nationwide presence, and a team of competent industry professionals, we aim to deliver managed services anytime, anywhere, to help businesses excel in their respective fields with improved internal and external operations.

Key Responsibilities:

We are seeking a Customer Service Representative (CSR) to handle inquiries and concerns from insurance plan members. The role requires empathy, attention to detail, and a strong understanding of healthcare benefits, insurance policies, and claims processes.

• Respond to inbound calls, emails, and chats from customers regarding benefits, insurance coverage, claims, and billing inquiries.
• Provide clear information about availed plans, coverage, eligibility, pre-authorizations, and claim status.
• Assist members in navigating portals, resetting passwords, and accessing account information.
• Handle escalations with professionalism, ensuring a positive member experience.
• Educate customers on healthcare plan options and assist with plan enrollment if necessary.
• De-escalate concerns by showing empathy, active listening, and delivering clear solutions.
• Ensure compliance and other insurance standards during all interactions.
• Document all customer interactions accurately in CRM and ticketing systems.