Health Insurance Member Support Specialist

CommunityCare, Inc.; Tulsa (OK); On-site; USD 32,000 - 46,000; Full time

Job summary

CommunityCare, Inc. in the United States is seeking a Customer Service Representative to be the first point of contact for membership questions, benefits, eligibility, PCPs, and claims. You will deliver outstanding service with accuracy, courtesy, and teamwork.

You will handle inquiries, verify details, resolve issues, and utilize interpreter services when needed. Flexibility for evenings and weekends is expected as workflows require.

Qualifications

• Exceptional telephone manner and customer service skills.
• Ability to resolve conflict and diffuse tension.
• Strong time management and decision-making abilities.
• Clear and professional verbal and written communication.

Responsibilities

• Process a high volume of inquiries from members, providers, and other stakeholders.
• Strive to achieve first call resolution with accurate information.
• Verify eligibility, benefits, deductible amounts, claim status, copays, and related details.
• Use active listening to understand needs and offer best solutions.
• Resolve escalated issues calmly and professionally.
• Provide interpretation services for all products when required.
• Support flexible hours including weekends and evenings as needed.

Skills

Telephone manners

Active listening

Communication skills

Time management

Microsoft Office

Bilingual

Education

High school diploma

Tools

Microsoft Office

Job description

CommunityCare, Inc. in the United States is seeking a Customer Service Representative to be the first point of contact for membership questions, benefits, eligibility, PCPs, and claims. You will deliver outstanding service with accuracy, courtesy, and teamwork.

You will handle inquiries, verify details, resolve issues, and utilize interpreter services when needed. Flexibility for evenings and weekends is expected as workflows require.