Healthcare Benefits Representative

Overview

Job Title: Customer Service Agent - Health Benefits Support (Remote)Start Date: August 31Employment Type: Full-Time (40 hours/week)Location: Remote (Work from Home)

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Job Overview

We are hiring Customer Service Agents to support health benefits and member services in a remote environment. In this role, you will initially support high-volume Open Enrollment activities and transition into ongoing customer service support across multiple channels.

This position offers paid training, structured development, and opportunities for long-term growth. Employees who maintain strong performance, attendance, and quality standards will be eligible to transition into additional programs and expanded responsibilities.

Responsibilities

What You’ll Do

Assist members with:

Benefits, enrollment, and plan education

Coverage, claims, billing, and payments

Provider networks, referrals, and pre-authorizations

Accurately process enrollments and update member information

Troubleshoot and resolve customer issues efficiently

Navigate multiple systems while interacting with customers

Maintain accurate records in CRM systems

Ensure compliance with HIPAA and company policies

Collaborate with internal teams to resolve complex concerns

Meet performance metrics including quality, productivity, and customer satisfaction

Stay current on healthcare policies, benefits, and system updates

Schedule

Full-time, 40 hours per week

Flexible availability required, including evenings, weekends, and holidays

Overtime may be available during peak periods

Work Environment

100% remote

Quiet, distraction-free workspace required

Reliable high-speed internet required

Qualifications

Required:

Must be 18 years or older

High school diploma or equivalent

At least 1 year of customer service experience (call center preferred)

Strong verbal and written communication skills

Ability to explain complex information clearly

Basic computer skills (typing, system navigation, multi-tasking)

Ability to work in a fast-paced, high-volume environment

Strong problem-solving and decision-making skills

Reliable attendance and punctuality

Preferred:

Healthcare, insurance, or benefits experience

Enrollment or claims support experience

Previous remote work experience

Why Join Us

Paid training

Opportunities for career growth and development

Supportive team environment

Valuable experience in healthcare and customer service

Apply today to start your career in customer service and healthcare support.