At Health Benefits, 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.
Job Summary
Responsible for providing quality service by accurately and respectfully responding to telephonic, written and electronic inquiries from employees/members, providers and clients a high volume call center. Inquiries include a variety of topics such as benefits, eligibility, claim status, claim disposition and so on.
This role requires the ability to seamlessly navigate multiple system applications/screens, various resources and tools to accurately respond to inquiries while on the phone and to thoroughly/accurately document all inquiries and actions taken using applicable software applications while following Health Benefits guidelines.
You will also participate in a 8-week training class. Our Trainers provide a detailed program to give you the knowledge and tools to be successful in your new role. Hours for the duration of training will be 8:00 am-4:00 pm CST and after training your hours will be between the hours of 11:00 am – 7:00 pm CST. This role is a fully remote position.
Required Job Qualifications:
- High School diploma or GED equivalent
- Minimum 1 year previous customer service experience
- Ability to work in a fast-paced, high demand, structured service oriented environment
- Excellent verbal, written and interpersonal communication skills
- Ability to effectively deal with problems in varying situations and reach resolution in a timely manner.
- Must possess strong reasoning and analytical skills and resolve issues for customers quickly and accurately while maneuvering between multiple systems/screens while on the phone.
- Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form
- Flexible; open to continued process improvement
- Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word
- Possess private, dedicated workspace free from distractions with secure, consistently reliable high speed Internet, with the ability to hardwire via Ethernet cable
Preferred Job Qualifications:
- Prior experience in a fast-paced call center
- Self-Funded Insurance/Benefits and/or TPA experience
- Knowledge of medical procedure and diagnosis coding
- Knowledge of medical terminology
- Familiarity with Summary Plan Documents (SPDs)/Insurance Booklets or other benefit descriptive tools
- Experience working in a performance measured environment with quality metrics
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
EEO Statement:
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.
Pay Transparency Statement:
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 salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan.
Min to Max Range:$14.32 – $26.90