Sr. Customer Service Specialist (Remote Inbound Call Center)

Claritev; United States; Remote; Full time

Job summary

Join Claritev as a Sr. Customer Service Specialist, where you'll manage complex and escalated claims inquiries in a remote setting. Ideal candidates will have extensive experience in healthcare customer service and strong communication skills. Enjoy flexible schedules, comprehensive benefits, and opportunities for professional growth.

Benefits

Medical, dental, and vision insurance

Life and disability insurance

401(k) with match

Bonus programs

Paid time off

Professional development opportunities

Flexible schedules

Qualifications

• 3 years in healthcare or customer service, preferably with out-of-network claims.
• Knowledge of healthcare claims, appeals, and insurance terminology.
• Strong communication and analytical skills.

Responsibilities

• Manage complex claims inquiries, including legal and insurance complaints.
• Provide resolutions and create correspondence via email, letters, and calls.
• Mentor and coach less experienced team members.

Skills

Communication

Analytical Skills

Multitasking

Education

High school diploma or GED

Job description

Sr. Customer Service Specialist (Remote Inbound Call Center)

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders -- internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our transformational journey as we aim to become a leading voice in healthcare technology, data, and innovation. Onward and Upward!

We are seeking a Sr. Customer Service Specialist to handle, research, and communicate complex and escalated claims inquiries from patients, clients, and providers. Ideal candidates will have at least three years of call center customer service experience, with knowledge of healthcare claims and appeals procedures. Remote work experience and familiarity with insurance and medical terminology are highly desirable.

Responsibilities include:

• Managing complex claims inquiries, including legal and insurance complaints.
• Providing resolutions and creating correspondence via email, letters, and calls.
• Adhering to response time requirements and documenting interactions accurately.
• Mentoring and coaching less experienced team members.
• Supporting call center operations and participating in training.

Work Schedule & Compensation:

• Monday to Friday, 40 hours/week, between 8:00 am and 5:00 pm CT, with flexible scheduling options post-training.
• Pay rate of $19.18/hour, with potential quarterly bonuses after 90 days.

Qualifications:

• High school diploma or GED.
• Minimum 3 years in healthcare or customer service, preferably with out-of-network claims.
• Knowledge of healthcare claims, appeals, and insurance terminology.
• Strong communication, analytical, and multitasking skills.
• Ability to work independently and as part of a team, maintaining confidentiality.

Benefits include:

• Medical, dental, and vision insurance.
• Life and disability insurance.
• 401(k) with match, bonus programs, and paid time off.
• Professional development opportunities and flexible schedules.

Application deadline is approximately 15 days from posting. Claritev is an Equal Opportunity Employer.