Health Insurance Member Support Specialist I

Word & Brown Companies; Orange (CA); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Health insurance

Job summary

Word & Brown Companies in Orange, CA seeks a Customer Service Rep I to handle calls from groups, members, brokers and general agencies, resolving questions about California Choice plan administration. You will educate on enrollment, billing, eligibility, ID cards, and procedures; maintain accurate documentation, and collaborate with brokers and carriers while adhering to HIPAA.

This role requires a CA Life & Health license or ability to obtain within six months, strong communication, and the

Qualifications

• CA Life & Health license required. If not held, must obtain within six months of hire.
• Excellent verbal and written communication, especially under pressure.
• Experience handling high call volume and fast-paced environments.
• Computer literacy in Word, Excel and Outlook; 55 WPM typing.
• English fluency; Spanish a plus for bilingual roles.

Responsibilities

• Answer calls and emails to resolve questions on California Choice plans.
• Educate employees, groups and brokers on enrollment, billing, rates and procedures.
• Verify enrollments and coordinate with carriers to resolve issues.
• Document calls in the call tracking system with HIPAA compliance.
• Support brokers and agencies with policy and procedure guidance.

Skills

Verbal & written communication

Under pressure

High call volume experience

MS Word/Excel/Outlook

Typing 55 wpm

English proficient

Spanish language bonus

Education

High school diploma or equivalent

Job description

Word & Brown Companies in Orange, CA seeks a Customer Service Rep I to handle calls from groups, members, brokers and general agencies, resolving questions about California Choice plan administration. You will educate on enrollment, billing, eligibility, ID cards, and procedures; maintain accurate documentation, and collaborate with brokers and carriers while adhering to HIPAA.

This role requires a CA Life & Health license or ability to obtain within six months, strong communication, and the