TRICARE Beneficiary Services Representative(m/w/x)

Description

In this role, you will be the go-to resource for TRICARE beneficiaries, guiding them through enrollment processes, providing claims assistance, and leading informative sessions. Your day will involve a mix of customer service, data management, and compliance tasks, ensuring beneficiaries receive the support they need.

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

Tools & Technologies

Benefits