Customer Service Associates (46197)

Job Description

Are you passionate about helping others and delivering exceptional customer service? We're looking for Customer Service Associates who are eager to serve as trusted partners for health insurance members, providers, and other stakeholders.

In this role, you'll be the voice of support and guidance for customers navigating their health insurance benefits and claims. While some situations may be complex, you'll be empowered to make a meaningful impact by providing accurate information, resolving concerns, and creating positive customer experiences.

If you thrive in a fast-paced environment, enjoy problem-solving, and take pride in helping people, we'd love to hear from you.

Work Model:
Hybrid

What You Will Do:
Deliver exceptional customer service by handling inbound calls from members, providers, and other stakeholders while striving for first-call resolution
Respond accurately and professionally to inquiries regarding health insurance benefits, claims, billing, and other plan-related questions
Research, analyze, and resolve claim-related issues while educating customers on next steps and available solutions
Build positive relationships through active listening, empathy, and proactive problem-solving to meet customer needs
Maintain accurate customer records by documenting interactions, updates, resolutions, and follow-up activities in company systems
Promote self-service tools and resources, helping customers better understand and manage their healthcare benefits and costs
Meet quality, productivity, and attendance standards while participating in training, team meetings, and continuous learning opportunities

What You Will Need to Be Successful:
High School Diploma or GED
Minimum of 1 year of customer-facing experience in areas such as:
Customer service
Retail
Healthcare
Caregiving
Education/teaching
Service-related environments
Strong ability to build professional relationships through active listening, empathy, and problem-solving
Basic computer proficiency, including navigating multiple applications and web-based systems
Excellent verbal and written communication skills with strong attention to detail
Strong critical thinking and problem-solving abilities
Ability to handle challenging situations professionally while maintaining composure and confidence
Effective time-management and multitasking skills
Ability to collaborate and work successfully within a team environment
Basic math skills, including addition, subtraction, and multiplication
Flexibility to learn additional lines of business as needed
Ability to attend in-office meetings, training sessions, and team events when requested
Experience using AI tools and technology, including the ability to evaluate and validate information for accuracy and quality (preferred)
Experience working in a structured environment with schedule adherence and performance metrics (preferred)
Previous health insurance, healthcare, or related industry experience (preferred)

Benefits Overview:
Health, dental, and vision insurance
401k
PTO
Hybrid work environment offering flexibility and collaboration
Opportunity to make a meaningful impact on customers' healthcare experiences
Comprehensive training and professional development
Supportive, team-oriented culture
Stable Monday-Friday schedule with no weekends
$20.00 – $23.00 per hour