Customer Service Representative – Health Insurance

Location: Onsite in Phoenix, AZ (first 10 weeks), then Remote
Pay: $20.50/hour
⏳ Duration: 6 months
Schedule: Full-time (40+ hours/week)

Purpose of the Role

This is a highly specialized customer service role within the health insurance industry, focused on:

• Delivering excellent service
• Ensuring compliance and privacy
• Supporting key departments:
  1. Utilization Management
  2. Member Relations
  3. Network Management

✅ Core Responsibilities

• Handle high-volume customer inquiries via phone, email, or in-person
• Research and resolve questions about benefits, claims, eligibility, and services
• Communicate with internal teams, providers, and external organizations
• Document interactions accurately in company systems
• Support utilization management tasks (non-clinical data collection, review requests, etc.)

Required Qualifications

• Education: High School Diploma or GED
• Experience: Minimum 1 year in customer service, claims, medical office, call center, or healthcare-related field

Preferred Qualifications

• Education: Associate’s Degree
• Skills:
  • Typing speed: 35+ WPM
  • Understanding of medical terminology, anatomy, and claims coding
  • Bilingual (Spanish/English) strongly preferred

Key Competencies

• Strong communication (verbal & written)
• Attention to detail and data accuracy
• Ability to maintain confidentiality
• Tech proficiency with office and CRM systems
• Adaptability and teamwork