Health Plan Specialist – Commercial

This is a fully remote position, open to applicants in Arizona, +15 more states.

📋 Description

• Manage all inbound customer service calls from health plan members, ensuring a 100% response rate.

• Handle approximately 50–70 calls daily, especially during peak enrollment seasons.

• Provide assistance to members regarding benefits, billing inquiries, enrollment processes, and coverage details.

• Investigate and resolve complex member issues from initiation to conclusion.

• Accurately document all member interactions in detail.

• Utilize various applications and online tools concurrently.

• Ensure prompt follow-up and take ownership of member-related concerns.

• Offer compassionate and professional customer service at all times.

• Work collaboratively with team members to guarantee a positive experience for members.

• Engage in virtual meetings and participate in training sessions.

⛳️ Requirements

• High School Diploma, GED, or equivalent professional experience is required.

• A minimum of 2 years of experience in a call center environment.

• Proficiency in navigating multiple systems and screens at the same time.

• Demonstrated reliable attendance history.

• Capability to work autonomously in a remote setting.

• A hard-wired internet connection using an Ethernet cable is necessary.

• A dedicated professional workspace that is free from distractions is essential.

• Willingness to be on camera during meetings and training sessions.

• Openness to utilizing company-provided equipment.

• Availability from Monday to Friday between 8:00 AM and 8:00 PM CST, and Saturday from 9:00 AM to 3:00 PM CST.

• Preference given to candidates who are amenable to later shifts.

• Candidates must reside in one of the eligible states: Arkansas, Arizona, Florida, Georgia, Iowa, Illinois, Kansas, Kentucky, Michigan, Minnesota, Missouri, North Dakota, Nebraska, Oklahoma, South Dakota, Tennessee, Virginia, or Wisconsin.

🏝️ Benefits

• 100% Remote Work.

• Company-provided equipment, including a headset, dual monitors, and other necessary tools.

• Opportunity to acquire experience in the health insurance sector.

• Potential for growth within the healthcare industry.

• Supportive team culture.

• Medical, dental, and vision insurance.

• Coverage for Critical Illness, Accident, and Hospital expenses.

• 401(k) Retirement Plan with options for pre-tax and Roth post-tax contributions.

• Voluntary Life & AD&D insurance available for employees and their dependents.

• Short- and long-term disability benefits.

• Health Spending Account (HSA) options.

• Transportation benefits.

• Employee Assistance Program (EAP).

• Time Off/Leave options, including PTO, Vacation, or Sick Leave.