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, and claims while ensuring a memorable customer experience.

Key responsibilities

• Assist callers with inquiries regarding eligibility, benefit coverage, and claims, while locating providers in their area
• 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 to resolve eligibility and appeal 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
• Strong data entry and navigation skills