Seasonal Member Service Representative (Work from Home)

We're seeking a highly skilled and motivated Seasonal Member Service Representative to join our dynamic team at GlowTouch, a UnifyCX company. As a remote worker, you will provide exceptional customer service to our clients, handling incoming calls, and resolving queries in a timely and professional manner. If you have a passion for delivering outstanding customer experiences and thrive in a fast-paced environment, we want to hear from you!

Job Summary:

In this role, you will be responsible for receiving, answering, and resolving calls from insured customers, providers, and other stakeholders. You will utilize our claims and eligibility database to inquire about claim status, ID cards, addresses, and other issues. As a primary point of contact, you will issue authorizations, handle claim inquiries, and provide benefits information to customers. Your excellent communication and interpersonal skills will enable you to diffuse volatile situations, share information, and educate callers, ensuring a positive experience for all customers.

Key Responsibilities:

• Provide timely and accurate information to customers, including issuing authorizations, handling claim inquiries, and communicating benefits information
• Process customer claims according to established department policies and procedures
• Check voicemail boxes and handle customer/provider requests for ID cards, authorizations, and customer service questions
• Fulfill rapid call volume by handling a high volume of incoming calls
• Complete Provider Relations requests for service and provide timely feedback to the company regarding customer service failures and/or customer/provider concerns
• Partner with Sales and Provider Relations to meet and exceed customer expectations
• Provide excellent customer service, handling all customers in a professional and courteous manner

Requirements:

• 2+ years of customer service or call center experience
• 2+ years of experience in the healthcare industry or insurance environment (preferred)
• Strong computer and technical skills to support heavy key data entry
• Excellent customer service skills, including friendly, courteous, and helpful demeanor
• Excellent interpersonal verbal and written communication skills
• Ability to diffuse volatile situations, share information, and educate callers
• Understanding of the health insurance or insurance industries
• Strong execution and follow-up skills, with the ability to meet production standards
• Team-oriented, with the ability to work effectively across functional areas of the company
• Accurate and efficient data entry skills, with strong analytical skills and good judgment
• Bilingual skills (helpful)

What We Offer:

• Competitive salary and comprehensive benefits package, including health, life, vision, and dental insurance
• 4% max matching 401K and other financial opportunity options
• Opportunity to work with a dynamic and growing company
• Flexible scheduling, with the ability to select an 8-hour schedule within our operating hours (8:00 am - 11:00 pm EST, 7 days a week)
• Professional development and career growth opportunities

Company Culture: