The Customer Service Representative provides benefit information, claim status, and general health plan details to callers while maintaining a welcoming and supportive experience. They are responsible for handling 35-50+ inbound and outbound calls daily and collaborating with claim staff to resolve account inquiries.
Point C
10 Remote Job Openings at Point C
Develop, configure, and maintain healthcare plan designs and benefit configurations to support efficient auto adjudication processes. Collaborate with IT and internal stakeholders to perform system testing, ensure regulatory compliance, and optimize system interoperability.
The Workforce Manager is responsible for forecasting workload demand, scheduling staff, and optimizing staffing efficiency across operations. This role ensures accurate reporting, system configuration, and performance monitoring to improve service levels and operational outcomes.
The Case Manager serves as a liaison between patients, providers, and care teams to ensure continuity of care and adherence to treatment plans. They are responsible for documenting patient progress, managing transitions-in-care, and connecting patients to necessary community resources.
The role focuses on preparing monthly reconciliations and analysis of custodial accounts to ensure accurate recording of client assets and cash transactions. It also involves monitoring aged receivables, managing daily cash receipts, and collaborating with internal teams to improve financial processes.
Lead the end-to-end configuration, administration, and optimization of the Zendesk platform across the enterprise. Partner with business teams to translate operational needs into platform enhancements and manage the system roadmap.
Lead all claims funding and check run operations, managing the end-to-end process from register generation to custodial account reconciliation. Oversee a team of funding specialists and drive the implementation of check run automation within the VBA platform.
Support Account Managers in maintaining broker and client relationships through professional communication and deliverable preparation. Utilize AI tools to accelerate research on industry trends and refine client-facing documentation.
Manage and retain a portfolio of key client accounts valued between $5-$8 million while serving as a trusted advisor to plan sponsors and brokers. Oversee the entire client lifecycle from onboarding to renewal, ensuring high satisfaction and alignment with strategic goals.
The Customer Service Agent provides benefit information, claim status, and general health plan information to callers. They engage with customers to create a welcoming experience and ensure accurate responses to inquiries.
