Remote Health Benefits Support Specialist

Pinnacle Claims Management; United States; On-site; USD 38,625 - 48,750; Full time

Benefits offered by this job

Profit sharing

Rich benefits package

Job summary

Pinnacle Claims Management is seeking a Customer Support Specialist to provide consultative telephonic and web-based assistance to Agents, Counselors, QHPs, and agencies. You will troubleshoot eligibility issues and guide clients through health benefit enrollment processes.

The role emphasizes strong communication, CRM navigation, and the ability to work in a dynamic environment. Remote US work with a comprehensive benefits package and profit-sharing is offered.

Qualifications

• HS diploma or GED and 1–3 years in customer service in a call center.
• Healthcare industry experience a plus.
• HBEX knowledge and enrollment processes preferred.
• Strong written and verbal communication.
• CRM software knowledge.

Responsibilities

• Customer Advocate: build relationships with Agents, Counselors, agencies and stakeholders.
• Become subject matter expert for PCMI, State Provided Programs and HealthCare.Gov.
• Represent the Agent with professionalism, knowledge and discretion.
• Adhere to call center Quality Guidelines for best phone support.
• Provide telephonic and web-based outreach for the application process.
• Document activities and outcomes for tracking and analysis.

Skills

Customer service

Communication skills

Time management

Research & problem solving

CRM software knowledge

Education

High School diploma or GED

Tools

CRM software

Job description

Pinnacle Claims Management is seeking a Customer Support Specialist to provide consultative telephonic and web-based assistance to Agents, Counselors, QHPs, and agencies. You will troubleshoot eligibility issues and guide clients through health benefit enrollment processes.

The role emphasizes strong communication, CRM navigation, and the ability to work in a dynamic environment. Remote US work with a comprehensive benefits package and profit-sharing is offered.