Healthcare claims processor - chat email support- Verifier

Provided merchant support through chat and email by assisting store owners with account inquiries, order issues, payment concerns, product listings, and platform-related questions. Troubleshot technical issues, guided merchants on Shopify tools and features, escalated complex cases when necessary, and ensured timely and professional resolution of customer concerns.

Processed healthcare claims by reviewing prior authorizations, verifying patient benefits and eligibility, validating CPT codes, and contacting insurance payors to obtain claim status, authorization details, and coverage information. Ensured accurate documentation and timely resolution of claims-related issues while maintaining compliance with healthcare guidelines.

Worked in Risk Management by reviewing and verifying seller accounts to ensure compliance with company policies and security standards. Conducted identity and document verification, investigated potential risks or fraudulent activities, and maintained accurate records while supporting a safe and secure platform environment.

Assisting customer with their concerns. Scheduling with contractors. Making follow ups. Creating work orders. Handled customer inquiries regarding home insurance policies, coverage, billing, and claims through phone, chat, and email.