Skip to main content
sign in
Username
Password
forgot?
Sign up
Share
help_outline
help
Pricing
Request Info
Please enable JavaScript on your web browser
menu
iRubric: Benefits Accuracy Assessment rubric
find rubric
Your browser does not support iframes.
edit
print
share
Copy to my rubrics
Bookmark
test run
assess...
delete
Do more...
Benefits Accuracy Assessment
Learners will be given a scenario that will be connected with 4-5 additional multiple-choice questions. These questions will require the learner to identify whether or not a member's policy is active, what resources must be used to provide complete and accurate benefits, the sections of those resources that need to be told verbatim, how to notate that this information was provided, and resolve the inquiry before ending the call.
Rubric Code:
Q223CA6
By
dmortensen
Ready to use
Public Rubric
Subject:
Medical
Type:
Assessment
Grade Levels:
Undergraduate
Your browser does not support iframes.
Desktop Mode
Mobile Mode
Benefits Accuracy Assessment Rubric
Non-Performance
1 pts
Below Expectations
2 pts
Basic
3 pts
Proficient
4 pts
Distinguished
5 pts
System Navigation
Non-Performance
Learner did not access the member's information within the company's database by opening an inquiry.
Below Expectations
Learner attempted to open an inquiry on the member/provider's behalf, but was unable to do so successfully.
Basic
Learner was able to open an inquiry on behalf of the member/provider with minimal struggle.
Proficient
Learner was able to open an inquiry on the behalf of the member/provider efficiently.
Distinguished
Learner was able to open an inquiry on the behalf of the member/provider efficiently and quickly.
Resource Utilization
Non-Performance
Learner did not utilize any resources when searching for health insurance benefit information.
Below Expectations
Learner attempted to utilize their resources, but did not select the correct resource to find the correct information within.
Basic
Learner was able to utilize the correct resource, with minimal struggle.
Proficient
Learner was able to find and utilize the correct resources efficiently.
Distinguished
Learner was able to find and utilize the correct resources efficiently and quickly.
Benefit Information
Non-Performance
Learner did not search for correct benefit information within their required resources or did not utilize their resources at all.
Below Expectations
Learner attempted to search for benefits information, but either did not find anything or gathered incorrect/incomplete information.
Basic
Learner was able to find accurate and complete benefit information with minimal struggle.
Proficient
Learner was able to find accurate and complete benefit information efficiently.
Distinguished
Learner was able to find accurate and complete benefit information efficiently and quickly.
Notation
Non-Performance
Learner did not notate their open inquiry about what was being asked or how it was resolved.
Below Expectations
Learner attempted to notate the inquiry and either formatted it incorrectly, did not save the notation, or did not provide complete information of what occurred during the inquiry.
Basic
Learner notated the inquiry accurately about what occurred, but took longer than 90 seconds to complete.
Proficient
Learner notated the inquiry accurately about what occurred, and took between 60-90 seconds.
Distinguished
Learner notated the inquiry accurately about what occurred, and took less than 60 seconds.
Resolution
Non-Performance
Learner did not provide a resolution to the member/provider inquiry.
Below Expectations
Learner attempted to provide a resolution to the member/provider, but provided an inaccurate/incomplete resolution, even if correct information was initially found.
Basic
Learner provided an accurate and complete resolution, but did not read the required benefits verbatim from the policy contract.
Proficient
Learner provided an accurate and complete resolution, while reading the required benefits verbatim from the policy contract.
Distinguished
Learner provided an accurate and complete resolution, while reading the required benefits verbatim from the policy contract and clarifying any potential confusion.
Subjects:
Medical
Types:
Assessment
Discuss this rubric
You may also be interested in:
More rubrics by this author
More Medical rubrics
More Assessment rubrics
Do more with this rubric:
Preview
Preview this rubric.
Edit
Modify this rubric.
Copy
Make a copy of this rubric and begin editing the copy.
Print
Show a printable version of this rubric.
Categorize
Add this rubric to multiple categories.
Bookmark
Bookmark this rubric for future reference.
Assess
Test run
Test this rubric or perform an ad-hoc assessment.
Grade
Build a gradebook to assess students.
Collaborate
Apply this rubric to any object and invite others to assess.
Share
Publish
Link, embed, and showcase your rubrics on your website.
Email
Email this rubric to a friend.
Discuss
Discuss this rubric with other members.
Do more with rubrics than ever imagined possible.
Only with iRubric
tm
.
Copyright © 2024
Reazon Systems, Inc.
All rights reserved.
n98
Your browser does not support iframes.
Your browser does not support iframes.
Your browser does not support iframes.