Customer Service Representative – One80 Intermediaries | Remote (U.S.)

School Result

United States

Remote

USD 19,410 - 22,041

Full time

14 days+

Application generator

Stand out for this role — generate a tailored resume and cover letter in about a minute.

Get past ATS filters

Benefits offered by this job

Competitive pay

Opportunities for advancement

Supportive team environment

Equal opportunity workplace

Job summary

A leading insurance consultancy is seeking a Customer Service Representative to join its medical claims department. This remote position involves managing incoming calls, providing claim information, and resolving payment issues while adhering to HIPAA regulations. The ideal candidate will have strong communication skills and the ability to work independently. This full-time role offers competitive pay between $14.09 and $16.00 per hour as well as opportunities for professional growth within the company.

Qualifications

Excellent interpersonal, oral, and written communication skills.
Ability to handle multiple tasks with strong organizational and follow-up skills.
Experience in customer service and claims preferred.

Responsibilities

Answer incoming calls and provide claim information.
Investigate claim payment issues and review plan certificates.
Educate providers and members on accessing plan information.

Skills

Effective time management

Excellent communication skills

Intermediate Microsoft Office proficiency

Problem-solving skills

Organisational skills

Experience with claims software

Ability to work in a team

Job description

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