Customer Service Representative - Benefit Advocate

Full Time
Remote
Posted
Job description

Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Health Benefits, you will be part of an organization committed to offering custom self-funded health benefits plans that manage costs – without compromising benefits – by offering innovative solutions, flexibility, transparency and customer support. We are now a subsidiary of Health Care Service Corporation, the largest customer-owned insurance company in the United States and a strategic partner of Health Benefits since 2018, giving us access to increased national scale and support. This is an exciting time to join our team and enhance our culture that emphasizes caring, diversity and inclusion, mutual respect, collaboration and service to our communities.


As one of the nation’s largest independent benefits administrators, Health Benefits helps our clients manage costs without compromising care by offering innovative solutions, flexibility and complete data transparency for our clients. Our responsive and empathetic customer service teams provide the highest level of support for employers and members.


At Health Benefits, we value our diverse team of Customer Service Representatives and we’re looking for new hires that want to learn and grow their careers with us! In this position, you will have the ability to work from home. You will also participate in a 5-week training class with other new hires scheduled to begin on January 9, 2023. Our Trainers provide a detailed program which will give you the knowledge and tools to be successful in your new role. Hours for the duration of training will be 8-4:00 pm CST (for approximately 5 weeks), and after training your hours will be 12:00 - 8:00 pm CST.


Please note that this position will be fully remote and open to those living within the U.S.


Job Responsibilities include:


  • Responding to telephone, email, electronic inquiries or faxes from employees/members, service providers, clients and/or other insurance carriers on a variety of topics such as benefits, eligibility, claim status and claim disposition.
  • Handling call volumes averaging 40-50/calls per day and will be documenting all inquiries using our internal systems.
  • Working with your support team to appropriately refer unresolved inquiries or escalated calls based on customer service procedures and guidelines.
  • Interacting with multiple systems to research inquiries and respond appropriately.
  • Following-up when required on outstanding issues to ensure timely resolution and client satisfaction.
  • Initiate outgoing calls to member or providers when required.
  • Other duties as needed/assigned

Job Qualifications:


  • Prior customer service experience working in a call center or in a position that entails handling calls is required.
  • Insurance, benefits, claims or medical/healthcare experience a plus, but not required.
  • Ability to work in a fast-paced, customer service driven environment
  • Excellent communication skills necessary to be successful.
  • Having a collaborative mindset in order to work effectively with other team members.
  • Ability to learn new/proprietary systems and to adapt to various system platforms.
  • All equipment and necessary software will be provided.
  • You must have a private workspace with access to high-speed internet.
  • Must be able to work a flexible 37.5 hr. work week that includes holidays, rotating Saturdays and possibly Sundays.
  • Must be able to work the hours of 12:00 am - 8:00 pm CST. after training
  • Bilingual candidates welcome to apply.

Benefits Include:

  • Paid Time Off
  • Paid Holidays
  • 401K
  • Health, Dental, and Vision
  • FSA and HSA
  • Basic Life Insurance & Supplemental Life
  • Short/Long Term Disability
  • EAP
  • Back-up Care for Children, Adults and Elders
  • Wellness Program

If you are a Colorado or New York resident and this role is a field-based or remote role, you may be eligible to receive additional information about the compensation and benefits for this role, which we will provide upon request.


All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran or disability.


Required Skills

Required Experience

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