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Experienced Customer Service Representative – Health Insurance Benefits and Claims Support

100% Remote Full-time Open now

At arenaflex, we're dedicated to providing exceptional customer service and support to our clients. As a Customer Service Representative, you'll play a vital role in ensuring that our customers receive the best possible experience when interacting with our team. If you're passionate about delivering top-notch service, resolving complex issues, and working in a dynamic environment, we want to hear from you!

About arenaflex

arenaflex is a leading provider of innovative solutions and services to the healthcare industry. Our team of experts is committed to delivering exceptional results, and we're always looking for talented individuals to join our ranks. As a Customer Service Representative, you'll be part of a collaborative and supportive team that's dedicated to making a positive impact on our customers' lives.

Job Summary

We're seeking an experienced Customer Service Representative to join our team in Irvine, CA. As a Customer Service Representative, you'll be responsible for providing exceptional customer service and support to our clients, resolving complex issues, and working collaboratively with our team to ensure that our customers receive the best possible experience. If you're passionate about delivering top-notch service and working in a dynamic environment, we want to hear from you!

Responsibilities

As a Customer Service Representative, you'll be responsible for:

  • Responding to general customer questions via telephone, email, and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims in a confidential, professional, and ethical manner.
  • Analyzing problems and providing information/solutions to customers.
  • Researching and resolving aged Customer Service open calls within company standards.
  • Operating in the Health Care Processing System (HCPS), Imaging systems, and all systems necessary to obtain and extract information.
  • Developing and maintaining positive customer relations and coordinating with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
  • Being accountable for identifying and reporting issues or trends, making improvements, and course correcting along the way.

Call Center Support

As a Customer Service Representative, you'll also be responsible for:

  • Documenting information, activities, and changes in the database and inquiry outcomes for accurate tracking and analysis.
  • Researching and analyzing data to address operational challenges and customer service issues.
  • Providing external and internal customers with requested information, including difficult and upset customers.
  • Meeting and maintaining Quality and Telephone Performance measures per customer service performance report.
  • Communicating with the appropriate departments and identifying service issues.
  • Identifying inefficiencies within established processes and suggesting possible solutions to save time, reduce risk, and/or reduce expenses.
  • Identifying, initiating, and implementing at least one process improvement and/or innovation annually.

Qualifications

To be successful as a Customer Service Representative, you'll need:

  • A High School diploma or GED and/or one (1) to three (3) years of experience in customer service within a call center environment, preferred.
  • Knowledge of Health Benefits and eligibility preferred.
  • Good communication and telephone skills with a very clear and concise speaking voice.
  • Proficient written communication skills with the ability to learn new software and navigate multiple systems at once.
  • Moderate keyboarding skills including proficiency with database management.
  • Ability to adapt to a constantly changing environment.
  • Proficient organizational and time management skills.
  • Fluent in English (oral and written) required. Bilingual in Spanish preferred.
  • Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.
  • Home router with wired Ethernet (wireless connections and hotspots are not permitted).
  • A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.).

Skills and Competencies

To succeed as a Customer Service Representative, you'll need:

  • Excellent communication and interpersonal skills.
  • Strong problem-solving and analytical skills.
  • Ability to work in a fast-paced environment and prioritize tasks effectively.
  • Proficiency in Microsoft Office and other software applications.
  • Strong organizational and time management skills.
  • Ability to work independently and as part of a team.

Career Growth Opportunities and Learning Benefits

As a Customer Service Representative at arenaflex, you'll have opportunities to:

  • Develop your skills and knowledge in customer service, health insurance benefits, and claims support.
  • Work collaboratively with our team to identify and implement process improvements and innovations.
  • Participate in ongoing training and development programs to enhance your skills and knowledge.
  • Take on new challenges and responsibilities as you grow and develop in your role.

Work Environment and Company Culture

As a Customer Service Representative at arenaflex, you'll work in a dynamic and supportive environment that's committed to delivering exceptional results. Our team is passionate about making a positive impact on our customers' lives, and we're always looking for talented individuals to join our ranks.

Compensation, Perks, and Benefits

As a Customer Service Representative at arenaflex, you'll enjoy:

  • A competitive hourly rate of $18.57.
  • Medical, dental, vision, life insurance options, short-term disability, 401(k), and other benefits.
  • Weekly pay and opportunities for career growth and advancement.
  • A dynamic and supportive work environment that's committed to delivering exceptional results.

How to Apply

If you're passionate about delivering top-notch customer service and working in a dynamic environment, we want to hear from you! Apply now to join our team as a Customer Service Representative in Irvine, CA. Apply for this job

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