Remote Customer Care Representative

Job Summary

Providing exceptional customer support, the full-time Remote Customer Care Representative will assist Dental and Vision inbound callers with eligibility, benefit coverage, claims, and provider location inquiries while working a flexible schedule within operational hours of 7:00am to 10:00pm CST.

Key responsibilities

• Servicing inbound callers with information regarding eligibility, benefit coverage, authorizations, and claims
• Utilizing knowledge of claim adjustments to resolve provider requests and providing feedback on claim issues
• Supporting enrollment activities and acting as a liaison between clients and Member Services staff to resolve eligibility and appeals issues

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