Lead Customer Service Representative - (Orlando, FL)

Description: Position Purpose\: Serve as a liaison between Customer Service Representatives CSRs), management and other various departments. Resolve customer inquiries via telephone and written communicationin a timely and appropriate manner. Investigate and resolve complex claims matters in coordination with health plan and/or corporate departmentsCoordinate the day-to-day work functions, acting as a â??go toâ? person and investigating and resolving complex issuesInitiate change requests to resolve system configuration questions impacting claims processing; review and test resultsConduct appropriate auditing processesReference current materials to answer escalated and complex inquiries from members and providers regarding claims, eligibility