Claims ProcessorMember Services Representatives help people understand and navigate health insurance reimbursement claims when they need support. We are looking for empathetic, solution-oriented professionals who enjoy helping others, solving problems, and delivering service. If you are passionate about customer care and want to build a career in healthcare support, we would like to meet you.Key ResponsibilitiesRespond promptly and professionally to customer inquiries via phone.Provide accurate information regarding products, services, and policies.Resolve customer issues efficiently and escalate complex cases as needed.Document all customer interactions in the CRM system.Maintain a high level of product knowledge to support customer needs.Meet or exceed performance metrics including call quality, response time, and customer satisfaction.Collaborate with team members and other departments to ensure seamless service delivery.Required QualificationsHigh school diploma or equivalent.Service experience in retail or a service-oriented role.Verbal and written communication skills.Problem-solving abilities and attention to detail.Proficiency in basic computer applications and CRM systems.Ability to work in a fast-paced, team-oriented environment.Proficiency in a multi-system environment.Basic internet and web-based application skills.Typing speed of 35 wpm.Eagerness to learn new technologies.Preferred QualificationsAssociate or bachelor's degree.Previous experience in a call center or customer service role.Work Schedule & LocationScheduling flexibility is required.
Employees will be scheduled to work an 8-hour shift between the hours of 8:30 AM and 8:00 PM Eastern Time, Monday through Friday. Start and end times may vary based on client and operational needs. This is an on-premises position and cannot be performed remotely.Everforth Apex is a world-class IT services company that serves thousands of clients across the globe.
When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.Everforth Apex Systems is an equal opportunity employer.
We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.
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This position is listed as full time and able to be worked remotely.