BenefitMall Customer Service Representative - Healthcare Insurance in Dallas, Texas

Job Description

Customer Service Representative – Healthcare Insurance - Dallas, TX

About BenefitMall:

BenefitMall is a national provider of employee benefits, payroll, HR and employer services. Working with a network of more than 20,000 Trusted Advisors, we enable small and medium sized businesses easy access to affordable quality workforce solutions including employee benefits, payroll, compliance, and HR Solutions. Our employees enjoy an inclusive company culture that helps them exceed their income by providing career growth opportunities while maximizing their talents and contributions to the organization. We also offer standard medical, dental, and vision benefits along with a casual work environment, tuition reimbursement and pet insurance.

The Role:

Part of our team, you will help ensure a high level of customer satisfaction with our brokers and groups by providing quality information and superior customer service for a defined scope of issues and post enrollment inquires.

Responsibilities:

  • Provides quality information and accurate solutions for a defined scope of customer issues via telephone and email correspondence.
  • Maintains phone time and/or electronic service goals every day
  • Determines when customer issues need to be escalated, and uses appropriate channels to timely resolution.
  • Provides quality customer service for issues regarding employee enrolment changes, ID card status, and effective date inquires.
  • Provides information to health insurance brokers or agents on ID, password and address change requests.
  • Actively participates in regular team meetings, providing input to contribute to the team’s overall success in achieving customer satisfaction

Required Qualifications:

  • High School diploma or equivalent, with a minimum of two (2) years’ experience in Call Center/Customer Service environment in the healthcare/insurance field.
  • Possess a good understanding of HIPAA laws and guidelines.
  • Knowledge of Microsoft Office, specifically Excel, Word, and Outlook Exchange; proficient in Internet Explorer or Chrome.
  • Ability to read, analyze and interpret Explanation of Benefits (EOB).
  • Read, comprehend, and interpret underwriting procedures, requirements, regulations, and contracts.
  • Maintain complete confidentiality of information.

We are an EOE F/M/D/V

BenefitMall provides equal employment opportunities to all employees and applicants for employment without regard to race, color creed, religion, sex, national origin, age, citizenship, disability, veteran status or any other protected status. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.

Required Skills

  • Provides quality information and accurate solutions for a defined scope of customer issues via telephone and email correspondence.

  • Maintains 100% of available phone time and/or electronic service goals every day, in accordance with current standards and as directed by management.

  • Determines when customer issues need to be escalated, and uses appropriate channels to timely resolution.

  • Provides quality customer service for issues regarding employee enrolment changes, ID card status, and effective date inquires.

  • Provides information to brokers or agents on ID, password and address change requests.

  • Keeps up to date on all Company’s policies and promotional offerings.

  • Actively participates in regular team meetings, providing input to contribute to the team’s overall success in achieving customer satisfaction

  • Additional projects as assigned

  • Physical requirements include sitting, frequently speaking and hearing, and occasionally standing, walking, bending, crawling, kneeling and the ability to lift up to 25lbs.

  • Occasional long, irregular hours

Required Experience

  • Possess a good understanding of HIPAA laws and guidelines.
  • Knowledge of Microsoft Office, specifically Excel, Word, and Outlook Exchange; proficient in Internet Explorer.
  • Communicate effectively with all levels of internal and external personnel, both verbally and in writing.
  • Ability to read, analyze and interpret Explanation of Benefits (EOB).
  • Read, comprehend, and interpret underwriting procedures, requirements, regulations, and contracts.
  • Maintain complete confidentiality of information.
  • Determine when problems should be escalated.
  • Work in and contribute to a positive team environment.
  • Complete tasks on time while managing multiple tasks simultaneously.
  • High School diploma or equivalent, with a minimum of two (2) years experience in Call Center/Customer Service environment in the healthcare/insurance field.
  • Working knowledge of medical conditions/terminology and insurance products.
  • Prior experience dealing with multiple customer service issues.

About BenefitMall: BenefitMall is a national provider of employee benefits, payroll, HR and employer services. Through our network of more than 20,000 trusted advisors, we enable small and medium sized businesses easy access to affordable, quality workforce products and services. We offer our employees the opportunity for career growth and earning potential by maximizing their talents and contributions to the organization

Tracking Code: 2667-194

Job Location: Dallas, Texas, United States

Position Type: Full-Time/Regular