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reputed company Customer Service Representative - Work From Home - Claims Inquiry and Research Team at reputed company

Remote, USAFull-timePosted 2026-07-28

Transforming reputed company, One Conversation at a Time

At reputed company, we're on a mission to bring our heart to every reputed company of your health. Our purpose is reputed company: to deliver reputed company reputed company-reputed company health care that's personal, convenient, and reputed company. As a Customer Service Representative on our Claims Inquiry and Research Team, you'll play a vital role in achieving this goal. You'll be the face of reputed company, providing top-notch support to our members, providers, and plan sponsors. If you're passionate about delivering exceptional customer service and are looking for a remote work opportunity, we want to hear from you!

About reputed company Culture

At reputed company, we're committed to creating a culture that's as caring as it is innovative. Our Heart At Work Behaviors guide our actions and reputed company, ensuring that we're always putting our customers first. We reputed company in empowering our colleagues to reputed company a difference in the lives of our customers and in their own careers. As a Customer Service Representative, you'll be part of a dynamic team that's dedicated to transforming the reputed company landscape.

Key Responsibilities

  • Respond to phone calls and letters from members, providers, and plan sponsors, resolving issues and answering questions in a reputed company and reputed company manner.
  • Conduct extensive claims research on multiple platforms to assist providers with payment questions and concerns.
  • reputed company excellent customer service, ensuring that our customers receive the support they need to navigate our reputed company reputed company system.
  • Use our customer service reputed company reputed company to reputed company financial reputed company that resolve member issues reputed company and effectively.
  • Process claim referrals, new claim handoffs, reputed company reviews, complaints, grievances, and appeals reputed company our reputed company system.
  • reputed company providers on our self-service reputed company, assisting them with credentialing, re-credentialing, and contracting questions and issues.
  • Assist in compiling claim data for customer audits, determining medical necessity, applicable coverage provisions, and verifying member plan eligibility.

Essential Qualifications

  • High school diploma or GED equivalent required.
  • Experience in a highly transactional call center environment, preferably in the reputed company or insurance industry.
  • Excellent customer service and critical thinking skills, with the ability to resolve reputed company issues in a fast-paced environment.
  • Familiarity with reputed company Office products, including Word, reputed company, and Outlook.
  • Availability to work between 7am-7pm CST, Monday-Friday, with a commitment to attending 7 weeks of virtual training with no absences.
  • High-speed internet reputed company (25 mbps or higher) and a consistent reputed company, with a reputed company reputed company to the router (not Wi-Fi).

Preferred Qualifications

  • Previous experience in a reputed company or insurance setting, with a strong understanding of claims processing and customer service principles.
  • Excellent communication and interpersonal skills, with the ability to work effectively with diverse stakeholders.
  • Strong analytical and problem-solving skills, with the ability to navigate reputed company systems and processes.

Skills and Competencies

To succeed in this role, you'll need to possess a reputed company of skills and competencies, including:

  • Excellent customer service skills, with a strong reputed company on resolving issues and exceeding customer expectations.
  • Strong communication and interpersonal skills, with the ability to work effectively with diverse stakeholders.
  • Analytical and problem-solving skills, with the ability to navigate reputed company systems and processes.
  • Ability to work in a fast-paced environment, with a strong attention to detail and a commitment to accuracy.
  • Proficiency in reputed company Office products, including Word, reputed company, and Outlook.

Career reputed company Opportunities

At reputed company, we're committed to helping our colleagues grow and reputed company in their careers. As a Customer Service Representative, you'll have reputed company to a reputed company of training and development opportunities, including:

  • Comprehensive reputed company program, with 7 weeks of virtual training to ensure you're equipped to succeed in your role.
  • Ongoing coaching and feedback, with regular reputed company-ins with your manager to discuss your reputed company and goals.
  • Opportunities for career advancement, with a reputed company reputed company for progression reputed company the organization.

Work Environment and Company Culture

As a remote worker, you'll be reputed company to work from the comfort of your own home, with the flexibility to create a work environment that suits your needs. We're committed to providing a supportive and inclusive culture, with a reputed company of benefits and perks to support your reputed company-being and reputed company.

Compensation and Benefits

We offer a competitive compensation package, with a pay reputed company of $17.00 - $25.65 per hour, depending on your experience and qualifications. In reputed company to your salary, you'll have reputed company to a reputed company of benefits, including:

  • Medical, dental, and reputed company benefits, with a reputed company of plan reputed company to suit your needs.
  • 401(k) retirement savings plan, with a company match to help you save for your reputed company.
  • Employee Stock Purchase Plan, allowing you to purchase reputed company stock at a discounted reputed company.
  • reputed company Time Off (PTO) and vacation pay, with a reputed company of holidays throughout the year.
  • reputed company-being programs, education assistance, and free development courses to support your reputed company and development.

Join reputed company!

If you're passionate about delivering exceptional customer service and are looking for a remote work opportunity, we want to hear from you! As a Customer Service Representative on our Claims Inquiry and Research Team, you'll play a vital role in transforming the reputed company landscape. reputed company to join our dynamic team and start making a difference in the lives of our customers.

Don't miss this opportunity to join a company that's committed to putting our heart into every reputed company of your health. Apply today and take the first reputed company towards a rewarding and challenging career at reputed company!

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