Health Insurance Support Specialist

AppleOne Employment Services; Guaynabo (PR); On-site; USD 21,000 - 30,000; Full time

Benefits offered by this job

Major medical

Dental

Vision

401k

Sick pay as required

Job summary

AppleOne Employment Services is seeking a Customer Service Representative to act as the primary liaison between a recognized health insurance organization and its members and providers. You will handle calls, guide on benefits, enrollment and claims, resolve inquiries and document interactions, while supporting retention and achieving quality metrics.

The role requires an Associate degree and 1–3 years in health insurance, with strong communication and problem-solving abilities.

Qualifications

• Associate degree (60–64 credits) in Business Administration, Arts or Science.
• 1–3 years of experience in the health insurance industry, preferably in sales or a call center.
• Excellent communication, customer service and problem-solving skills.

Responsibilities

• Handle inbound and outbound calls, guiding members on benefits, enrollment, claims and coverage changes.
• Resolve customer inquiries, complaints and service issues; escalate when needed.
• Conduct follow-up calls and document interactions in the systems.
• Support member retention and satisfaction while meeting productivity and quality goals.

Skills

Customer service skills

Communication skills

Problem-solving

Education

Associate degree in Business Administration/ Arts or Science

Job description

AppleOne Employment Services is seeking a Customer Service Representative to act as the primary liaison between a recognized health insurance organization and its members and providers. You will handle calls, guide on benefits, enrollment and claims, resolve inquiries and document interactions, while supporting retention and achieving quality metrics.

The role requires an Associate degree and 1–3 years in health insurance, with strong communication and problem-solving abilities.