Customer Service Associate

This is a fully remote position, open to applicants in Montana.

📋 Description

• Receive telephone inquiries from plan participants, group contacts, and providers concerning benefits and claims.

• Deliver precise, timely, and accurate responses to requests for information.

• Document calls in Chronolog by summarizing key points of the conversation.

• Respond to messages from designated voicemail boxes.

• Read, interpret, and apply plan documents, amendments, and updates for various clients.

• Meet with clients as necessary to address health benefit plan inquiries.

• Provide support to team members and cross-functional partners.

• Log faxed claims and input fax details into Chronolog.

• Redirect misdirected claims to the correct provider.

• Assist members with navigating the website.

• Achieve or surpass company standards regarding quality and productivity.

• Maintain reliable and punctual attendance.

• Research claim information and aid in identification efforts.

• Assist with maintaining provider records.

• Index claims and batches of correspondence.

• Execute responsibilities assigned to specific client groups.

• Support employee training and cross-training initiatives.

• Research and compile refund documentation.

⛳️ Requirements

• A high school diploma or GED is required.

• Basic experience in computer usage and customer service.

• Exceptional verbal and written communication skills.

• Proficient in Windows, Word, and Adobe Acrobat; capacity to learn new software quickly.

• Minimum typing speed of 45 words per minute.

• Strong listening abilities and keen attention to detail.

• Basic mathematical skills.

• High level of interpersonal skills and ability to work collaboratively.

• Capability to organize and recall extensive amounts of detailed information.

• Ability to read, analyze, and interpret benefit plans, insurance documents, and regulations.

• Professional demeanor and ability to present a positive image.

• Commitment to maintaining privacy and confidentiality standards.

• Flexibility to work under pressure and meet deadlines.

• Strong problem-solving skills combined with professionalism and patience.

• Home internet connection through cable broadband or fiber optic service, with a minimum of 10 Mbps download and 5 Mbps upload speeds.

🏝️ Benefits

• Opportunity to work from home occasionally or permanently.

• Tobacco-free workplace policy.

• Reasonable accommodation assistance for the online application process.