Operations Support Specialist

Infomatics Corp; United States; On-site; USD 45,000 - 65,000; Full time

Job summary

Infomatics Corp is seeking a Healthcare Service & Operations Specialist to support members with benefits, claims, and authorizations. You will act as a bridge between members and their healthcare benefits, providing clear explanations and industry knowledge beyond standard customer service.

Responsibilities include handling benefit coverage questions, claims, and authorizations; managing member relationships to support retention; and clearly explaining insurance concepts to members and providers.

Qualifications

• Solid understanding of how claims, liabilities, and insurance coverage work.
• Calm under pressure, thoughtful rather than reactive.
• Strong communication skills, both on the phone and in writing.
• Basic comfort with business systems and databases.

Responsibilities

• Handle benefit coverage questions, claims, and authorizations.
• Manage member relationships to support retention.
• Clearly explain insurance concepts to members and providers.

Skills

Healthcare knowledge

Customer support

Communication

Claims processing

Job description

Healthcare Service & Operations Specialist

Should have good knowledge in customer support and claims

We are looking for someone who:

• Knows the healthcare business and can navigate complex situations with confidence
• Can act as a bridge between our members and their healthcare benefits
• Goes beyond customer service to bring real industry knowledge to the role

Responsibilities:

• Handle benefit coverage questions, claims, and authorizations
• Manage member relationships to support retention
• Clearly explain insurance concepts to members and providers

Requirements:

• Solid understanding of how claims, liabilities, and insurance coverage work
• Calm under pressure, thoughtful rather than reactive
• Strong communication skills, both on the phone and in writing
• Basic comfort with business systems and databases