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Inbound Support Specialists - 3014768

Assist members in resolving healthcare claim issues and guiding them through submission processes
Allen Park, Michigan, United States
Entry Level
2 days ago
Michigan Staffing

Michigan Staffing

Provides state government employment services, connecting job seekers with public sector opportunities and supporting agencies with staffing and workforce solutions.

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Inbound Support Specialist

We are seeking dedicated and empathetic Inbound Support Specialists to join our team. The ideal candidate will be responsible for handling inbound service-related calls to assist our members with their healthcare-related claims. The specialist will provide clear and accurate information, offer guidance on claim submissions, and resolve any issues relating to members' claims. This role requires excellent communication skills, a thorough understanding of health insurance processes, and the ability to handle sensitive information. Have you ever wanted to help people live a healthy, happy life, but didn't know where to start? Our client will teach you what you need to know with skills that are transferable across the healthcare industry.

Key Responsibilities:

  • Handle inbound calls from customers related to their healthcare.
  • Provide detailed explanations of claims decisions and necessary next steps.
  • Guide members through the process of submitting claims and appeals.
  • Deliver exceptional customer service by actively listening to members' needs and concerns.
  • Address and resolve member inquiries in a timely and professional manner.
  • Ensure members feel supported and informed throughout their healthcare process.
  • Accurately document all client interactions and updates in the company's CRM system.
  • Prepare and maintain reports on call outcomes and client feedback.
  • Follow up on unresolved issues and ensure they are addressed promptly.
  • Adhere to company policies and procedures, including those related to privacy and confidentiality.

Qualifications:

  • High school diploma or equivalent required.
  • Previous experience in a call center environment is preferred but not a requirement.
  • Strong customer service skills with the ability to effectively communicate and empathize with callers.
  • Excellent problem-solving skills and attention to detail.
  • Proficiency in using computer systems and navigating multiple software applications simultaneously.
  • Ability to work efficiently in a fast-paced environment and manage multiple tasks effectively.
  • Flexibility to work evenings, weekends, and holidays as needed.

EEO Employer 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. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

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Inbound Support Specialists - 3014768
Allen Park, Michigan, United States
Support
About Michigan Staffing
Provides state government employment services, connecting job seekers with public sector opportunities and supporting agencies with staffing and workforce solutions.