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iRubric: Benefits Accuracy Assessment rubric

iRubric: Benefits Accuracy Assessment rubric

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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
Ready to use
Public Rubric
Subject: Medical  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric 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.




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