Customer Care Specialist

Job Summary

Assisting members and providers with routine service inquiries, the full-time Customer Care Specialist I will work remotely from Ohio, focusing on claims processing, member benefit education, and ensuring compliance with HIPAA regulations.

Key responsibilities

• Resolve routine service inquiries related to claims, benefits, and eligibility for members and providers
• Research and follow up on open issues to ensure timely resolution and satisfaction
• Maintain accurate documentation of communications and act as a mentor to new hires

Required qualifications

• High School Diploma or equivalent
• Preferred two years of customer service experience, particularly in a call center environment
• Proficiency in computer skills, particularly in a Windows environment
• Typing speed of at least 35 words per minute
• Ability to work independently and in a fast-paced environment