TRICARE Beneficiary Services Representative(m/w/x)

Requirements

• High School diploma, GED, or equivalent experience
• U.S. Citizenship
• SOFA/Command-Sponsored status as a dependent of an Active-Duty Service Member, DoD employee, or U.S. Contractor
• Eligibility for ADP IT III clearance (Non-Sensitive Position, Tier 1)
• 3+ years of customer service experience
• Fluency in English with strong written and oral communication
• Proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook)
• Effectiveness in delivering presentations
• Ability to communicate tactfully with others
• Self-starter with ability to work independently
• Strong organizational, time management, and multitasking abilities
• High attention to detail
• Familiarity with TRICARE Overseas Program, DEERS, DOES, and MHS Genesis
• Work background in U.S. military healthcare delivery or civilian managed care

Tasks

• Process enrollments, disenrollments, and portability transfers
• Update Primary Care Managers following MTF guidelines
• Provide guidance on TRICARE resources and benefits
• Assist beneficiaries with enrollment and claims inquiries
• Offer basic claims status updates and support
• Lead informational briefings for various events
• Collect and record daily activities and OHI information
• Evaluate assistance needs and escalate complex issues
• Comply with HIPAA regulations and maintain confidentiality
• Complete required training courses on time
• Assist with remote support and train new team members

Work Experience

Education

Languages

Tools & Technologies