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Insurance Customer Care Associate
2 months ago
Customer Service Representative
Location: Pocatello, Idaho
Join EMI Health, a dynamic employee benefits organization dedicated to providing insurance solutions to businesses and individuals across multiple states. We pride ourselves on offering a comprehensive benefits package that includes medical and dental coverage, paid time off, holiday pay, vision, life insurance, disability coverage, health savings accounts, and retirement savings plans.
As a tobacco-free workplace, we exclusively hire non-tobacco users.
EMI Health is an equal opportunity employer as defined by the EEOC.
SUMMARY: Under the guidance of the Customer Service Supervisor, the Customer Service Representative engages with clients to address inquiries, resolve issues, and clarify insurance benefits and procedures. This role involves handling incoming calls exclusively, with no outbound sales or cold calling required. This is a full-time, non-exempt position with standard hours from 9:00 a.m. to 6:00 p.m., Monday through Friday.
PRIMARY RESPONSIBILITIES:
- Responds to customer inquiries through inbound calls, providing solutions to routine questions regarding benefits and claims.
- Utilizes internal technical tools to research customer information in response to inquiries related to authorizations, payments, coordination of benefits, and eligibility.
- Investigates, analyzes, and resolves outstanding issues to ensure customer satisfaction, taking ownership of the resolution process.
- Maintains accurate records of all customer interactions.
EDUCATION, EXPERIENCE AND QUALIFICATIONS:
- High school diploma or equivalent.
- Proficient keyboarding skills and computer literacy.
- Strong communication and organizational abilities.
- Effective problem-solving and critical thinking skills.
- Experience in medical and/or dental insurance is advantageous.
