Job Summary
One80 Intermediaries is seeking a Customer Service Representative to join its medical claims department. This front-line role is crucial in delivering exceptional service to claimants and providers, setting the tone for the company’s commitment to white-glove service.
The position involves handling incoming calls, providing claim and eligibility information, investigating payment issues, and ensuring compliance with HIPAA regulations. It offers competitive pay ($14.09–$16.00/hour), a supportive team environment, and opportunities for professional growth.
Key Job Details
- Job Title: Customer Service Representative
- Employer: One80 Intermediaries (rated 3.0/5 stars)
- Location: Remote (United States)
- Pay: $14.09–$16.00 per hour
- Job Type: Full-Time
- Contract Type: Permanent
About One80 Intermediaries
One80 Intermediaries is part of Arrowhead Intermediaries, a global insurance distribution platform with more than 7,000 professionals worldwide and a portfolio exceeding $18 billion in premium placed in 2024. The organisation combines entrepreneurial culture with operational excellence to deliver tailored solutions across wholesale brokerage, program administration, and specialty insurance.
Key Responsibilities
- Answer incoming calls and log into assigned phone queues daily
- Provide eligibility and claim information to medical providers and members
- Review and interpret plan certificates to determine covered benefits and exclusions
- Investigate claim payment issues and research PPO databases
- Document call details in claim systems and monitor voicemail
- Respond to provider/member status requests professionally
- Initiate check inquiries to confirm claim payments
- Educate providers and members on new technology for accessing plan information
- Use probing skills to resolve customer concerns in a single call
- Maintain minimum call standards per company policy and industry agreements
- Complete special projects as requested by management
Candidate Requirements
- Effective time management and ability to function independently
- Excellent interpersonal, oral, and written communication skills
- Intermediate proficiency in Microsoft Office programs
- Strong problem-solving and issue resolution skills
- Ability to handle multiple tasks with strong organisational and follow-up skills
- Experience with claims and business software preferred
- Ability to work effectively in a fast-paced, team-based environment
Benefits
- Competitive pay: $14.09–$16.00/hour
- Opportunities for advancement within One80 Intermediaries
- Supportive, team-oriented environment
- Equal opportunity workplace committed to diversity and inclusion
Application Process
How to Apply:
- Submit your application via One80 Intermediaries’
- Provide details of relevant customer service and claims experience.
- Shortlisted candidates will be contacted for interview.
CLICK HERE TO APPLY
#J-18808-Ljbffr