Experienced Claims and Customer Care Specialist – Delivering Exceptional Service in the Arenaflex Health Insurance Ecosystem
At Arenaflex, we're dedicated to revolutionizing the health insurance experience by providing unparalleled customer service and claims processing expertise. As a Claims and Customer Care Specialist, you'll play a vital role in ensuring our members, providers, clients, and brokers receive timely and accurate assistance, contributing to our mission of delivering high-quality health insurance services.
About Arenaflex
Arenaflex is a leading health insurance provider, committed to empowering individuals and families to take control of their health and well-being. With a strong focus on innovation, customer satisfaction, and community engagement, we're shaping the future of health insurance. Our team is passionate about making a difference, and we're seeking like-minded professionals to join our mission.
Responsibilities
As a Claims and Customer Care Specialist, you'll be responsible for:
- Processing routine to moderately complex claims using multiple systems and applications while providing exceptional customer service via inbound call queues, email, and chat.
- Handling moderately complex claims and adjustments, responding to inquiries through various channels, and escalating issues as needed.
- Conducting claims research under the direction of senior staff and assisting with projects as directed by management.
- Mentoring and training junior team members, providing overflow and escalation support for customer service inquiries.
- Conducting complex claims research projects in response to escalations and inter-departmental inquiries.
Key Qualifications
To succeed in this role, you'll need:
- An Associate degree in business, healthcare administration, communications, or a related field, or an equivalent combination of training and experience.
- 1-5 years of customer service and/or claims experience, preferably in the health or dental insurance industry.
- Professional certifications such as Certified Dental Billing Specialist (CDBS), Certified Dental Coder (CDC), or Certified Dental Assistant (CDA) are a plus.
- Basic to advanced Microsoft Office skills, depending on the level of the position.
- Knowledge of dental benefits, services, terminology, and American Dental Association coding.
- Understanding of standard customer service best practices and principles.
- Familiarity with the Health Insurance Portability and Accountability Act (HIPAA).
Nice-to-Haves
While not required, experience in a call center environment in the health or dental insurance industry, as well as advanced knowledge of dental benefits and coding practices, would be beneficial.
Benefits and Perks
At Arenaflex, we're committed to supporting our employees' well-being and career growth. You'll enjoy:
- An employee bonus program.
- 401(k) with company match up to 4% and additional company contribution.
- Health Savings Account with company matching contribution.
- Comprehensive medical, dental, vision, life, and disability insurance.
- Access to an Employee Assistance Program for counseling and coaching.
- Company holidays and up to 16 PTO days in the first year, with options to carry over unused PTO.
- Parental leave for eligible employees after 120 days of service.
- Career development programs and tuition reimbursement up to $5,250 per year.
Work Environment and Culture
At Arenaflex, we foster a collaborative and inclusive work environment that encourages creativity, innovation, and growth. Our team is passionate about making a difference, and we're committed to supporting each other's success. With a focus on work-life balance, we offer flexible scheduling and remote work options to ensure our employees can thrive both personally and professionally.
How to Apply
If you're a motivated and customer-focused professional looking to join a dynamic team, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your experience, qualifications, and why you'd be a great fit for Arenaflex. Apply for this job