Customer Care Specialist

1 month ago


Exeter, United States Top Gun Staffing Group LLC Full time

About the job Customer Care Specialist - Benefits and Claims

Top Gun Staffing Group LLC has partnered with a TPA (third-party administrator) to identify Customer Support Specialists to join their team. The successful candidate will be responsible for handling and resolving benefit questions, claims processing issues, and delivering world-class customer service. The ideal candidate will have excellent communication and problem-solving skills, as well as a thorough understanding of healthcare and/or employee benefit programs.

Responsibilities:

  • Handle incoming calls from members and providers for a wide range of healthcare and/or employee benefit programs
  • Research specific claims processing issues and identify solutions in a timely fashion
  • Document customer interactions in a clear and concise manner
  • Provide accurate and timely responses to customer inquiries
  • Identify and escalate complex issues to the appropriate department
  • Provide exceptional customer service at all times
Qualifications:
  • High school diploma or equivalent required; college degree preferred
  • Previous experience in a contact center role, ideally within the healthcare or insurance industry
  • Excellent verbal and written communication skills
  • Strong problem-solving abilities
  • Knowledge of medical terminology
  • Ability to multitask and handle high-pressure situations
  • Proficient in Microsoft Office and data entry
  • Bilingual in Spanish is a HUGE plus
Hours:

Candidates can be assigned to any shift based on business needs / demands.
  • Monday - Friday (37.5-hour work week)
    • 8:00AM 4:00PM
    • 8:30AM 4:30PM
    • 9:00AM 5:00PM
    • 9:30PM 5:30PM
    • 10:00AM 6:00PM
Pay Range:
  • Starting pay is $22.00 - $23.00/hour commensurate with experience.


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