Health Insurance Member Support Specialist

CommunityCare HMO, Inc.; Tulsa (OK); On-site; USD 30,000 - 40,000; Full time

Job summary

A health insurance provider in Tulsa is seeking a Customer Service Representative to address membership-related inquiries, provide resolutions, and enhance customer satisfaction. This role requires excellent communication skills, a high school diploma, and preferably customer service experience, with flexible hours including weekends. Candidates must be proficient in Microsoft Office and able to navigate a fast-paced environment.

Qualifications

• Exceptional telephone manner and customer service skills.
• Ability to resolve conflict and diffuse tension.
• Strong time management and decision-making skills.
• Ability to explain health insurance benefits clearly.
• Ability to work under stress with production and quality standards.
• Highly organized and attentive to detail.
• Flexibility and ability to adapt to change.
• Completion of Health Care Sanctions background check.

Responsibilities

• Process a high volume of incoming inquiries from members and providers.
• Achieve first call resolution by providing accurate information.
• Verify eligibility and benefits for customers.
• Resolve escalated customer issues with professionalism.
• Provide interpretation services as needed.
• Meet call center metrics while delivering excellent service.
• Participate in training to expand knowledge.

Skills

Customer service skills

Active listening skills

Verbal and written communication skills

Problem resolution skills

Time management skills

Bilingual skills

Education

High school diploma or equivalent

Tools

Microsoft Office applications

Job description

A health insurance provider in Tulsa is seeking a Customer Service Representative to address membership-related inquiries, provide resolutions, and enhance customer satisfaction. This role requires excellent communication skills, a high school diploma, and preferably customer service experience, with flexible hours including weekends. Candidates must be proficient in Microsoft Office and able to navigate a fast-paced environment.