Call Center Representative

Call Center Representative Overview

• The Call Center Representative role offers a chance to provide exceptional service and advocacy for participants navigating health benefits.
• Engage in a dynamic, fast-paced environment with opportunities for professional growth and skill development.
• Collaborate with internal teams and external vendors to resolve participant concerns effectively.
• Benefit from a Monday-Friday schedule with potential for conversion to a permanent role.
• Gain access to comprehensive training programs to build expertise in health benefits.
• Work in a supportive team environment that values empathy, professionalism, and problem-solving skills.
• Enjoy a newly renovated office space with on-site amenities like a café and gym.
• Contribute to a growing organization dedicated to making a meaningful impact in customer service.

Call Center Representative Key Responsibilities & Duties

• Deliver empathetic and professional service through phone, email, and written correspondence.
• Address participant inquiries regarding eligibility, benefits, claims, and plan-related matters.
• Research and resolve participant concerns, providing accurate information and solutions.
• Explain claim payments and assist participants in understanding denied claims.
• Verify eligibility updates and coordinate with vendors and internal departments.
• Document participant interactions and maintain detailed records.
• Assist with enrollment forms, disability claims, and other participant-related processes.
• Escalate complex issues to appropriate team members for resolution.
• Participate in special projects and provide team support as needed.

Call Center Representative Job Requirements

• High School Diploma or GED is required.
• Minimum of 1 year of customer service or receptionist experience.
• Preferred experience in TPA, insurance carrier, or healthcare settings.
• Typing speed of at least 40 words per minute.
• Proficiency in Microsoft Office applications.
• Strong written and verbal communication skills.
• Ability to manage challenging situations with a positive and cooperative demeanor.
• Dependable attendance and punctuality are essential.
• Willingness to work occasional Saturdays if required.