Experienced Customer Service Representative (100% Remote) – Health Insurance Administration

At arenaflex, we're committed to delivering exceptional customer experiences that exceed our clients' expectations. As a key member of our customer service team, you'll play a vital role in ensuring our clients receive the highest level of service and support. If you're passionate about delivering outstanding customer service, have a knack for problem-solving, and thrive in a fast-paced environment, we want to hear from you!

About arenaflex

arenaflex is a leading provider of innovative health insurance solutions, dedicated to empowering individuals and families to make informed decisions about their healthcare. Our team of experts is passionate about delivering exceptional customer experiences, and we're committed to making a positive impact in the lives of our clients. As a remote customer service representative, you'll be part of a dynamic team that's shaping the future of health insurance administration.

Key Responsibilities

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

• Handling calls from clients to resolve, educate, and respond to questions regarding California Choice/Choice Builder plan administration and procedures
• Educating clients via telephone about PCP's, ID cards, RX problems, administrative procedures, dependent coverage, address changes, and other relevant topics
• Following up on calls and emails from brokers regarding problems that their groups are experiencing with providers
• Interacting with brokers, general agents, and sales representatives on a daily basis to answer questions regarding California Choice processes
• Responding to calls from providers to confirm eligibility and benefits
• Verifying enrollments and resolving issues with carriers
• Expediting processing of members' enrollment with carrier if urgent services are needed
• Reviewing and submitting appeal requests from groups
• Reviewing and auditing group billing and explaining to clients in clear and accurate manner
• Documenting calls in our call tracking system
• Meeting department standards for quality and quantity of work, including an average of 90% or greater on Call Reviews
• Answering at least 100% of the daily call volume average
• Providing clear and explicit documentation while maintaining a percentage at a level of 90% or higher daily
• Meeting department and team standards for turnaround times
• Adhering to all HIPAA (Health Insurance Portability and Accountability Act) and PHI (Personal Health Information) guidelines

Essential Qualifications

* At least two (2) years of customer service experience

• Knowledge of the health insurance industry and customer service experience preferred
• Ability to handle irate customers in a courteous, patient, calm, and positive manner while maintaining a high quality and quantity of work
• Experience in handling high call volume
• CA Life & Health license required; if successful applicant does not have insurance license, it is required to obtain one within six (6) months of date of hire
• Excellent verbal and written communication skills, especially under pressure
• Computer literate in Microsoft Word, Excel, and Outlook; accurate data entry skills a must
• Typing at 55 WPM or more
• Ability to work in a fast-paced environment where deadlines are a priority and handling multiple assignments simultaneously
• Problem-solving skills required
• Proficient knowledge of the English language
• Proficient knowledge of the Spanish language is a plus; if hired as a Bilingual representative, Language Assistance Certification is required every two (2) years

Additional Competencies

* Action Oriented

• Approachability
• Customer Focus
• Humor
• Listening
• Patience
• Self-Knowledge
• Technical Learning
• Time Management
• Written Communication

Work Environment and Culture

As a remote customer service representative, you'll enjoy the flexibility of working from home while being part of a dynamic team that's shaping the future of health insurance administration. arenaflex is committed to creating a positive and inclusive work environment that fosters collaboration, innovation, and growth. Our team is passionate about delivering exceptional customer experiences, and we're committed to making a positive impact in the lives of our clients.

Compensation and Benefits

* $20.50 per hour

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• On-the-job training
• Vision insurance
• Work from home

Shift and Schedule

* 8-hour shift

• Day shift

Education and Experience

* High school diploma or equivalent required

• Customer Service: 3 years (Required)
• Call Center: 3 years (Required)

Language

* English (Required)

How to Apply

If you're passionate about delivering exceptional customer service and have a knack for problem-solving, we want to hear from you! Apply now to join our dynamic team at arenaflex and take the first step towards a rewarding career in health insurance administration. Apply Job! Apply for this job