Key Responsibilities :
- Member Education: Help members understand their health plans and benefits clearly and accurately.
- Enrollment Support: Assist members with navigating the enrollment platform to select suitable benefit plans.
- Customer Service: Respond to inquiries via phone, email, or text with empathy and professionalism.
- System Usage: Use internal platforms for communication and training.
- Regulatory Compliance: Maintain a strong understanding of and adherence to HIPAA, POPIA, and SANC regulations.
- Other Duties: Perform additional related tasks as needed.
Skills & Qualifications :
- Customer Care: Empathy, patience, and professionalism in addressing member concerns.
- Detail-Oriented: Ability to follow procedures accurately and manage information efficiently.
- Communication: Clear, adaptive communication across various channels and audiences.
- Problem-Solving: Analytical thinking to resolve issues and support members effectively.
- Adaptability: Flexibility to handle different situations and shifting workflows.
- Technical Proficiency: Comfortable using multiple platforms and tools; capable of performing basic math and managing data.
Education & Experience :
- High school diploma or equivalent required.
- Preferred background in customer service, insurance, healthcare, billing, or hospitality.
- Experience providing client-focused solutions.
Work Environment :
- Primarily desk-based work involving extended computer use.
- This position is fully remote.