Medicare Claims & Customer Care Specialist

LHH Recruitment Solutions; Brookhaven (GA); On-site; USD 38,000 - 54,000; Full time

Job summary

LHH Recruitment Solutions is seeking a Customer Service Representative to join a growing team dedicated to supporting policyholders and healthcare providers with insurance inquiries, claims, and benefits.

The ideal candidate will thrive in a fast-paced environment, deliver accurate information, resolve concerns on first contact, and maintain detailed records while collaborating with claims teams to ensure compliant, high-quality service.

Qualifications

• Experience handling high-volume inbound customer calls.
• Knowledge of Medicare Supplement insurance and healthcare claims adjudication processes.
• Strong customer service background with a focus on problem resolution.

Responsibilities

• Handle a high volume of inbound calls from policyholders and providers.
• Provide accurate information regarding insurance policies, benefits, coverage, and claims.
• Resolve customer concerns promptly with a focus on first-call resolution.
• Assist customers and providers with claims-related inquiries and claim status updates.
• Educate customers on policy details, benefits, and claims processes.
• Maintain accurate records of customer interactions and transactions.
• Collaborate with claims teams and other departments to ensure seamless service delivery.
• Escalate complex issues when necessary while maintaining a positive customer experience.

Skills

Verbal communication

Written communication

Interpersonal skills

Problem solving

Attention to detail

Multitasking

Team collaboration

Education

High school diploma or equivalent

Tools

CRM systems

Customer service software

Job description

LHH Recruitment Solutions is seeking a Customer Service Representative to join a growing team dedicated to supporting policyholders and healthcare providers with insurance inquiries, claims, and benefits.

The ideal candidate will thrive in a fast-paced environment, deliver accurate information, resolve concerns on first contact, and maintain detailed records while collaborating with claims teams to ensure compliant, high-quality service.