Customer Service Representative - Benefit Advocate

Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Health Benefits (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self-funded health benefits plans that manage costs – without compromising benefits – by offering innovative solutions, flexibility, transparency and customer support. This is an exciting time to join our team and enhance our culture that emphasizes caring, diversity and inclusion, mutual respect, collaboration and service to our communities.

As one of the nation’s largest independent benefits administrators, Health Benefits helps our clients manage costs without compromising care by offering innovative solutions, flexibility and complete data transparency for our clients. Our responsive and empathetic customer service teams provide the highest level of support for employers and members.

At Health Benefits, we value our diverse team of Customer Service Representatives and we’re looking for new hires that want to learn and grow their careers with us! In this position, you will have the ability to work from home. You will also participate in a training class with other new hires scheduled to begin on September 11, 2023. Our Trainers provide a detailed program which will give you the knowledge and tools to be successful in your new role. Hours for the duration of training will be 8-4:00 pm CST (for about 9 weeks), and after training your hours will be 12:00 - 8:00 pm CST.

Please note that this position will be fully remote and open to those living within the U.S.

Job Responsibilities Include

• Working with your support team to appropriately refer unresolved inquiries or escalated calls based on customer service procedures and guidelines.
• Responding to telephone, email, electronic inquiries or faxes from employees/members, service providers, clients and/or other insurance carriers on a variety of topics such as benefits, eligibility, claim status and claim disposition.
• Following-up when required on outstanding issues to ensure timely resolution and client satisfaction.
• Other duties as needed/assigned
• Initiate outgoing calls to member or providers when required.
• Handling call volumes averaging 30/calls per day and will be documenting all inquiries using our internal systems.
• Interacting with multiple systems to research inquiries and respond appropriately.

Job Qualifications

• Insurance, benefits, claims or medical/healthcare experience a plus, but not required.
• Bilingual candidates welcome to apply.
• Having a collaborative mindset in order to work effectively with other team members.
• Ability to work in a fast-paced, customer service driven environment
• You must have a private workspace with access to high-speed internet.
• Excellent communication skills necessary to be successful.
• Must be able to work a flexible 37.5 hr. work week that includes holidays, rotating Saturdays (averaging about every 5 weeks) and possibly Sundays.
• Ability to learn new/proprietary systems and to adapt to various system platforms.
• All equipment and necessary software will be provided.
• Prior customer service experience working in a call center or in a position that entails handling calls is required.
• Must be able to work the hours of 12:00 am - 8:00 pm CST. after training

At Health Benefits, you will be part of an organization committed to offering meaningful benefits to our associates to support their life outside of work. From health and wellness benefits, 401(k) savings plan, a minimum of 15 days of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, new parent paid leave, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time associates.

The compensation range for this position is between $15.00/hr. and $26.90/hr. The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan.

All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran or disability.

Required Skills

Required Experience