Healthcare Benefits Concierge — Customer Service Rep

Concierge Third Party Administrator; Oklahoma City (OK); On-site; USD 32,000 - 48,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k)

Paid time off

Paid holidays

Job summary

Concierge Third Party Administrator is seeking a Customer Service Representative to be the front line for members, employers, and providers via phone, text, and live chat. You will answer questions about benefits, claims, and eligibility and route complex issues to the right teams.

The role requires patience, organization, and a genuine desire to help people navigate healthcare questions. The position is full-time and in-office with a Monday–Friday schedule.

Qualifications

• 1+ year of customer service experience, preferably in a call center or contact center.
• Clear, professional phone voice and strong written communication for text and chat.
• Able to manage several systems at once while typing accurately.
• Calm, empathetic, and professional with frustrated callers.
• Attention to detail and respect for confidentiality.

Responsibilities

• Handle inbound calls, text messages, and live chats from members, employers, and providers.
• Verify caller identity and protect member health information per HIPAA and policy.
• Explain benefits, coverage, deductibles, copays, and eligibility clearly.
• Look up claim status and explain processing, denials, and next steps.
• Help members find in-network providers and pharmacies.
• Support pharmacy benefit questions, such as drug coverage and prescriptions.
• Document interactions in the administration system.
• Escalate complex issues to relevant teams and follow up until resolved.
• Meet service goals for response time, resolution, and quality.
• Spot recurring issues and share them with leadership to improve processes.

Skills

Customer service

Job description

Concierge Third Party Administrator is seeking a Customer Service Representative to be the front line for members, employers, and providers via phone, text, and live chat. You will answer questions about benefits, claims, and eligibility and route complex issues to the right teams.

The role requires patience, organization, and a genuine desire to help people navigate healthcare questions. The position is full-time and in-office with a Monday–Friday schedule.