Remote Health Insurance Support Specialist

Naukri Mitra; United States; Remote; USD 44,000 - 53,000; Full time

Benefits offered by this job

Full health benefits

Wellness resources

Retirement savings options

Job summary

Naukri Mitra is seeking a Remote Health Insurance Customer Service Representative to guide members through coverage, billing, and claims questions from home. You will handle calls, chats, and online requests with empathy and accuracy.

You’ll explain benefits, verify eligibility, and use CRM tools while maintaining HIPAA compliance to ensure a smooth member experience. Training begins with structured onboarding and ongoing updates.

Qualifications

• Strong listening and communication to connect with members.
• Clear explanations for complex health terms.
• Stay calm with frustrated callers.

Responsibilities

• Assist members, providers and families with benefits, coverage and claims guidance.
• Explain provider network information and verify eligibility.
• Use digital tools to track conversations while staying HIPAA compliant.
• Deliver thoughtful, empathetic support across calls, chats, and online requests.

Skills

Listening

Clear explanations

Calm under pressure

Digital savviness

Attention to detail

Customer experience

Tools

CRM platforms

Digital knowledge base

Collaboration tools

Secure systems

Job description

Naukri Mitra is seeking a Remote Health Insurance Customer Service Representative to guide members through coverage, billing, and claims questions from home. You will handle calls, chats, and online requests with empathy and accuracy.

You’ll explain benefits, verify eligibility, and use CRM tools while maintaining HIPAA compliance to ensure a smooth member experience. Training begins with structured onboarding and ongoing updates.