Job Description

Inbound Support Specialist

We are seeking dedicated and empathetic Inbound Support Specialists to join our team. The ideal candidate will be responsible for handling inbound calls to assist members with their health insurance claims. This role requires providing clear and accurate information, offering guidance on claim submissions, and resolving any issues relating to members' claims. This position requires communication skills and the ability to handle sensitive information.

Key Responsibilities

• Take inbound calls from clients regarding their health insurance claims.
• Follow up with members on claim statuses, required documents, and any additional information needed.
• Assist members in understanding their health insurance coverage and claim processes.
• Provide detailed explanations of claims decisions and necessary next steps.
• Guide members through the process of submitting claims and appeals.
• Deliver customer service by actively listening to members' needs and concerns.
• Address and resolve member inquiries in a timely and professional manner.
• Ensure members feel supported and informed throughout their claims process.
• Accurately document all client interactions and updates in the company's CRM system.
• Prepare and maintain reports on call outcomes and client feedback.
• Follow up on unresolved issues and ensure they are addressed promptly.
• Adhere to company policies and procedures, including those related to privacy and confidentiality.

Required Qualifications

High school diploma or equivalent is required. Previous experience in a call center environment is required. Proficiency in using computer systems and navigating multiple software applications simultaneously is required.

Preferred Qualifications

• Associate or bachelor's degree.
• Experience in the healthcare or insurance industry.
• Knowledge of health insurance terminology, claims processing procedures, and regulatory requirements.

Compensation & Benefits

The pay rate for this position is $19.00 per hour. This is a contract-to-hire opportunity with a contract length of approximately 5 months. Additional benefits may be available to eligible employees.

This employer is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

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