Health Plan Customer Support Specialist I

Word & Brown Companies; Orange (CA); On-site; USD 28,000 - 29,000; Full time

Job summary

Word & Brown Companies in Orange, CA is seeking a Customer Service Rep I to handle calls from groups, members, brokers and general agencies, educating customers on ChoiceBuilder plans and procedures.

The role requires strong communication, the ability to manage high call volumes, and proficiency with Word, Excel, and Outlook. Bilingual Spanish is a plus. On-site work with HIPAA/PHI compliance is expected.

Qualifications

• CA Life & Health license required. If successful applicant does not have insurance license, it is required to obtain one within six (6) months of date of hire.
• Must have excellent verbal and written communication skills, especially under pressure.
• Ability to handle irate customers in a courteous, patient, calm and positive manner while maintaining a high quality and quantity of work.

Responsibilities

• Answers questions via telephone or email from groups regarding new hires, billing, rates, supplies, administrative procedures, etc.
• Educates, via telephone or email, employees/dependents regarding ID cards, administrative procedures, dependent coverage, address changes, etc.
• Follows-up on calls and emails from brokers regarding problems that their groups are experiencing with providers.
• Ability to interact with brokers, general agents and sales representatives on a daily basis and must be able to answer questions regarding ChoiceBuilder processes.
• Responds to calls from providers to confirm eligibility and benefits.
• Verifies enrollments and resolves issues with carriers.

Skills

Excellent verbal and written comms

Ability to handle high call volume

Bilingual Spanish a plus

Education

High school diploma or equivalent

Tools

Microsoft Word

Excel

Outlook

Job description

Word & Brown Companies in Orange, CA is seeking a Customer Service Rep I to handle calls from groups, members, brokers and general agencies, educating customers on ChoiceBuilder plans and procedures.

The role requires strong communication, the ability to manage high call volumes, and proficiency with Word, Excel, and Outlook. Bilingual Spanish is a plus. On-site work with HIPAA/PHI compliance is expected.