Experienced Healthcare Insurance Customer Service Representative – Wisconsin Residents Only

At arenaflex, we're dedicated to delivering exceptional customer experiences that exceed our members' expectations. As a key member of our team, you'll play a vital role in providing top-notch support to our healthcare insurance customers, ensuring their questions and concerns are addressed promptly and professionally.

Job Summary:

We're seeking a highly skilled and customer-focused Healthcare Insurance Customer Service Representative to join our team. As a Wisconsin resident, you'll have the opportunity to work from the comfort of your own home, providing exceptional service to our members while enjoying a flexible and supportive work environment. If you're passionate about delivering outstanding customer experiences and have a strong background in healthcare insurance, we encourage you to apply for this exciting opportunity.

Key Responsibilities:

As a Healthcare Insurance Customer Service Representative, you'll be responsible for:

• Answering incoming phone calls and emails from providers, members, customers, or brokers regarding questions of coverage, claim status, benefit interpretation, billing, and/or authorizations.
• Responding to inquiries within set timeframes to adhere to department metrics and contractual standards.
• Probing and asking appropriate questions to identify specifics of caller inquiries to ensure first call resolution.
• Documenting details of interactions within the database, including any additional action steps taken as follow-up.
• Following up with customers or other departments on outstanding issues or concerns. Escalating appropriate issues to Supervisor or appropriate individual.
• Supporting members by answering calls and proactively working to resolve their questions and concerns.
• Striving for first call resolution, working to resolve member issues at the point of contact.
• Utilizing dual monitors while leveraging computer-based resources to find answers to customers' questions and help simplify next steps for members.
• Reaching out to internal departments or external resources to help resolve member concerns.
• Demonstrating commitment and behavior aligned with the philosophy, mission, values, and vision of arenaflex.
• Appropriately applying all organizational, regulatory, and credentialing principles, procedures, requirements, regulations, and policies.

Additional Skills & Qualifications:

* Experience working in a call center environment is preferred.

• Knowledge of basic insurance concepts is preferred.
• Intermediate skills in Microsoft Office, including Outlook, Excel, and Word.
• Capacity to multi-task by navigating multiple computer applications and programs simultaneously.

Employee Value Proposition (EVP):

At arenaflex, we're committed to providing our employees with opportunities for growth and development. Once hired, you'll have the chance to explore various roles and responsibilities within our organization, allowing you to expand your skills and expertise. Our supportive work environment and flexible scheduling options make it easy to balance your work and personal life.

Work Environment:

* Remote work arrangement available for Wisconsin residents.

• Hybrid arrangement available with an in-office stipend equivalent to $100 per week, paid in addition to the hourly rate.
• Initial training period is a 6-8 week program with a work schedule of Monday - Friday from 8:00am - 4:30pm. After training, you can select a Monday - Friday work schedule of either 8:30am to 5:00pm or 9:00am - 5:30pm.

Remote Requirements:

* Telecommute work site must be a room with a door that shuts.

• Telecommuting placement will not provide primary care for any individuals during regularly scheduled work hours.
• Reliable internet connection with a minimum of 10 Mbps to accommodate Voice Over Internet Protocol (VOIP).

Pay And Benefits:

The pay range for this position is $18.25 - $18.25/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type:

This is a fully remote position.

Application Deadline:

This position is anticipated to close on May 14, 2025.

About arenaflex:

arenaflex is a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution, and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe, and Asia, who partner with us for our scale, full-stack capabilities, and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities.

Equal Opportunity Employer:

arenaflex is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law. If you're passionate about delivering exceptional customer experiences and have a strong background in healthcare insurance, we encourage you to apply for this exciting opportunity. Apply for this job