Remote Customer Care Representative

Job Summary

Providing exceptional service to Dental and Vision inbound callers, the full-time Remote Customer Care Representative will assist with eligibility, benefit coverage, claims, and provider location inquiries while working a flexible schedule that includes occasional evenings and weekends.

Key responsibilities

• Assist callers with inquiries regarding eligibility, benefit coverage, authorizations, and claims
• Utilize knowledge of claim adjustments to resolve provider requests and provide feedback on high-level claim issues
• Support enrollment activities and act as a liaison between the organization and client Member Services staff

Required qualifications

• High school diploma or equivalent
• 1+ years of customer service experience in healthcare, call center, banking, or retail
• Basic knowledge of Microsoft Office products
• Ability to work occasional overtime as needed
• Understanding of dental, vision, and/or medical insurance terminology is preferred