Health Plan Support Specialist

HEALTHPLANONE, LLC; Cleveland (OH); Remote; USD 32,000 - 42,000; Full time

Job summary

HealthPlanOne is seeking a Customer Service Representative (CSR) to support Retention Calls, Health and Resource Assessments (HRA), and Enrollment Verification (EV) initiatives. The role requires strong communication, empathy, and the ability to handle confidential information with care.

Responsibilities include contacting current clients to address questions, maximizing available benefits, and ensuring accurate data for enrollment records. Experience in healthcare or insurance is preferred.

Qualifications

• Experience in customer service, preferably in healthcare or insurance.
• Strong communication and interpersonal skills.
• Ability to handle sensitive information with confidentiality.

Responsibilities

• Retention Calls: Reach out to current clients to address questions and needs, focusing on loyalty and referrals.
• Health and Resource Assessment (HRA): Conduct assessments to maximize available benefits for clients.
• Enrollment Verification (EV): Verify plan start dates, collect accurate contact information, confirm AOR reviews and discuss costs with clients.

Skills

Excellent communication

Interpersonal skills

Confidentiality

Problem-solving

Empathy

Teamwork

Education

High School Diploma or equivalent

Tools

SharePoint

CRM systems

Job description

HealthPlanOne is seeking a Customer Service Representative (CSR) to support Retention Calls, Health and Resource Assessments (HRA), and Enrollment Verification (EV) initiatives. The role requires strong communication, empathy, and the ability to handle confidential information with care.

Responsibilities include contacting current clients to address questions, maximizing available benefits, and ensuring accurate data for enrollment records. Experience in healthcare or insurance is preferred.