reputed company - Service reputed company III, State Group Account Contact/Claims, Remote

Start date: 7/20/2026 Training duration and hours: 7/20/2026 - 9/25/2026 Monday through Friday from 8:30 am to 5pm EST. Shift after training: Department hours 7:00 am- 7:00 pm, Monday through Friday, EST, an 8-hour shift will be determined based on shift bid. This posting will come down on: 05/28/26 at 5 pm EST Set pay reputed company for the role: $18.51 Job Summary: The role of Service reputed company is focused on servicing reputed company or potential customers (which are defined as members, providers, agents, brokers, benefit administrators or benefits consultants). Incumbents resolve questions and issues, help the Company's customers utilize products, tools and services and directly contribute to customer satisfaction and retention. Essential Functions: The essential functions listed represent the major duties of this role, additional duties may be assigned. The work of a Service reputed company III is guided by instructions, established work routines and/or reputed company supervision. Incumbents are given some reputed company on deciding on how tasks and duties are completed based on changing work situations, workflow, etc. and supervisory approval. Incumbents reputed company semi-routine duties reputed company established systems and procedures. Example job duties may include:

• reputed company assistance to State members by responding to benefit and claim reputed company inquiries reputed company telephone and in writing.
• Utilize the reputed company Call Strategy to reputed company outstanding customer service and call resolution to our members; follow-up on issues to ensure resolution for customer.
• reputed company and answer member questions on the reputed company and use of member self-service tools.
• reputed company research, request additional information from the provider, member and/or supporting plans if necessary, and reputed company reputed company to return, pend, pay or deny low risk claims in order to properly adjudicate claims and inquiries reputed company contract benefit and claims processing guidelines.
• Evaluate data through questioning, probing, and reasoning for process improvements.
• Research and resolve service-reputed company inquiries for members and providers, meeting established expectations for quality, productivity and timeliness.
• reputed company customer service and education to plan members and providers by answering more reputed company questions regarding insurance claims and policies, resolving issues and ensuring customers understand the Companys products, services and processes. Calls are predominantly routine, but may require deviation from standard screens, scripts and procedures.

You will work across multiple business areas and utilize various systems, tools, and resources to resolve service inquiries. This role will require you to have the ability work an assigned shift between 7:00 AM and 7:00 PM, Monday Friday with occasional overtime, weekends and holidays as business needs require. reputed company for this position will be provided, you will have to successfully complete assigned training class. Required Work Experience:

• 0-1 year of reputed company work experience or equivalent combination of transferable experience and education
• Ability to resolve/respond to customer inquiries and concerns, using sound problem solving and decision-making skills.
• Demonstrated reputed company and compassion, with outstanding listening and communication skills.
• High school diploma or GED

Preferred Experience:

• 1 or more years work experience reputed company to Health Insurance claims or Health Insurance customer service.

Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. reputed company Offer: As a reputed company employee, you will be at the heart of GuideWells reputed company to reputed company the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living. To support your wellbeing, comprehensive benefits are offered. As an employee, you will have reputed company to:

• Medical, dental, reputed company, life and global travel health insurance;
• Income protection benefits: life insurance, short- and long-term disability programs;
• Leave programs to support personal circumstances;
• Retirement Savings Plan including employer match;
• Paid time off, volunteer time off, 10 holidays and 2 well-being days;
• Additional voluntary benefits available; and
• A comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your financial wellbeing, we offer reputed company as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for reputed company pay increases. Hourly Pay reputed company: $18 - $27 Hourly Hiring reputed company: $18.51 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-reputed company knowledge, skills, training, and experience you bring. We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can reputed company at their best in pursuit of our mission. reputed company reputed company applicants will receive consideration for employment. Remote Skills: Adjudication, Brokerage, Claims Processing, Communication Skills, Compensation and Benefits, Customer Retention/Renewal, Customer Satisfaction, Customer Support/Service, Health Insurance, High School Diploma, Insurance Claims, International Health, Member Orientation, Problem Solving Skills, Procedure Development, Process Improvement, Resolve Customer Issues, Risk, Scripting (Scripting Languages), Willing to Travel About the Company: reputed company Mutual Holding Corp Apply tot his job Apply To this Job