Healthcare Benefits Representative

Overview

Job Title: Customer Service Agent - Health Benefits Support (Remote)Start Date: August 31Employment Type: Full-Time (40 hours/week)Location: Remote (Work from Home)

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Job Overview

We are hiring Customer Service Agents to support health benefits and member services in a remote environment. In this role, you will initially support high-volume Open Enrollment activities and transition into ongoing customer service support across multiple channels.

This position offers paid training, structured development, and opportunities for long-term growth. Employees who maintain strong performance, attendance, and quality standards will be eligible to transition into additional programs and expanded responsibilities.

Responsibilities

What You’ll Do

• Assist members with:
  • Benefits, enrollment, and plan education
  • Coverage, claims, billing, and payments
  • Provider networks, referrals, and pre-authorizations
• Accurately process enrollments and update member information
• Troubleshoot and resolve customer issues efficiently
• Navigate multiple systems while interacting with customers
• Maintain accurate records in CRM systems
• Ensure compliance with HIPAA and company policies
• Collaborate with internal teams to resolve complex concerns
• Meet performance metrics including quality, productivity, and customer satisfaction
• Stay current on healthcare policies, benefits, and system updates

Schedule

• Full-time, 40 hours per week
• Flexible availability required, including evenings, weekends, and holidays
• Overtime may be available during peak periods

Work Environment

• 100% remote
• Quiet, distraction-free workspace required
• Reliable high-speed internet required

Qualifications

Required:

• Must be 18 years or older
• High school diploma or equivalent
• At least 1 year of customer service experience (call center preferred)
• Strong verbal and written communication skills
• Ability to explain complex information clearly
• Basic computer skills (typing, system navigation, multi-tasking)
• Ability to work in a fast-paced, high-volume environment
• Strong problem-solving and decision-making skills
• Reliable attendance and punctuality

Preferred:

• Healthcare, insurance, or benefits experience
• Enrollment or claims support experience
• Previous remote work experience

Why Join Us

• Paid training
• Opportunities for career growth and development
• Supportive team environment
• Valuable experience in healthcare and customer service

Apply today to start your career in customer service and healthcare support.