Customer Service Representative
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Job Description
Customer Service Representative answering healthcare benefits and claims questions for Point C, a self-funded benefits administrator. Handling high-volume calls and coordinating claim adjustments remotely.
Responsibilities:
- Create a welcoming experience by authentically engaging every caller, every time
- Make a connection with customers through friendly and genuine conversation throughout each call
- Interact with team and co-workers in a supportive and purpose-driven environment
- Answer questions about customers’ healthcare accounts thoroughly and accurately
- Listen to callers’ needs and provide appropriate solutions
- Demonstrate ethical conduct, safety, and compliance
- Handle 35–50+ inbound and outbound phone calls per day
- Work closely with claim staff to make warranted adjustments to claims
- Perform other duties based on business needs
Requirements:
- 2+ years of customer service experience; 1+ years in a TPA or payer setting
- Experience with self-funded plans preferred
- Bachelor’s degree or medical billing/coding certification
- Additional TPA or payer experience
- Strong communication, multitasking, and computer skills (Microsoft Office)
- Ability to work remotely and handle prolonged computer-based tasks
Benefits:
- Comprehensive medical, dental, vision, and life insurance coverage
- 401(k) retirement plan with employer match
- Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
- Paid time off (PTO) and disability leave
- Employee Assistance Program (EAP)
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