Health Plan Specialist – Open Enrollment

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

📋 Description

• Manage 100% inbound calls related to health plan benefits, billing, enrollment, and coverage inquiries.

• Handle approximately 50-70 calls daily during peak Open Enrollment seasons.

• Investigate and resolve complex member issues from beginning to end.

• Take ownership of customer concerns until complete resolution is achieved.

• Accurately and thoroughly document all interactions.

• Leverage online tools and resources to effectively assist members.

• Provide outstanding customer service with empathy, professionalism, and meticulous attention to detail.

⛳️ Requirements

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

• Must have reliable hard-wired internet access via Ethernet cable.

• Stable high-speed internet connection is required; no Wi-Fi, hotspot, or satellite connections are permitted.

• Must be comfortable appearing on camera during training sessions and meetings.

• A professional, distraction-free home office environment is essential.

• All company-provided equipment, including dual monitors and a headset, must be utilized.

• Call center experience is preferred.

• Experience in health insurance is preferred.

• Familiarity with Medicaid is preferred.

• Strong problem-solving abilities and customer service skills are necessary.

• Ability to navigate multiple systems while on calls is required.

• Flexible availability is needed Monday through Friday between 8:00 AM and 9:00 PM CST.

🏝️ Benefits

• Comprehensive benefits package available.

• Fully remote work environment.

• Opportunity for permanent employment.

• Medical, dental, and vision coverage.

• Critical Illness, Accident, and Hospital insurance coverage.

• 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 coverage.

• Health Spending Account (HSA) offered.

• Transportation benefits provided.

• Employee Assistance Program available.

• Paid Time Off/Leave (PTO, Vacation, or Sick Leave).

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

• Consistent schedule from Monday to Friday.

• Supportive team environment.