Experienced Customer Service and Claims Representative - National Remote

At arenaflex, we're committed to delivering exceptional customer experiences that exceed expectations. As a Customer Service and Claims Representative, you'll play a critical role in creating a quality experience for our members and their families. If you're passionate about helping others and have a knack for resolving complex issues, we want to hear from you.

About arenaflex

arenaflex is a leading provider of consumer-oriented health benefit plans, serving millions of people across the nation. Our mission is to create higher quality care, lower costs, and greater access to healthcare. We're dedicated to empowering our employees to achieve new levels of excellence and make a profound and personal impact in the healthcare industry.

Join Our Team

As a Customer Service and Claims Representative, you'll join a team of passionate professionals who are committed to delivering exceptional customer experiences. You'll have the opportunity to work with a diverse range of members, from individuals to families, and help them navigate the complexities of healthcare. Our team is dedicated to creating a supportive and inclusive environment that fosters growth, development, and success.

Key Responsibilities

As a Customer Service and Claims Representative, you'll be responsible for:

• Answering incoming phone calls from customers and identifying the type of assistance they need
• Asking appropriate questions and listening actively to identify specific questions or issues while documenting required information in computer systems
• Owning problems through to resolution on behalf of the customer in real-time or through comprehensive and timely follow-up
• Reviewing and researching incoming healthcare claims from members and providers by navigating multiple computer systems and platforms and verifying the data/information necessary for processing
• Ensuring that the proper benefits are applied to each claim by using the appropriate processes and procedures
• Communicating and collaborating with members and providers to resolve issues, using clear, simple language to ensure understanding
• Meeting performance goals established for the position in the areas of efficiency, accuracy, quality, member satisfaction, and attendance

Required Qualifications

To be successful in this role, you'll need:

• High School Diploma/GED or equivalent experience
• 1 year of prior experience in a call center setting
• 1 year of experience in a customer service role
• Experience working in the healthcare and health insurance industry
• Experience with Medical Terminology
• Experience working in a metric-driven work environment
• Ability to work any 8-hour shift between the hours of 8:00 AM - 4:30 PM CST from Monday - Friday, including the flexibility to work occasional overtime based on business need
• Must be 18 years of age or older

Telecommuting Requirements

As a remote employee, you'll need to:

• Be able to keep all company-sensitive documents secure (if applicable)
• Have a dedicated work area established that is separated from other living areas and provides information privacy
• Live in a location that can receive a UnitedHealth Group-approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills

To succeed in this role, you'll need to possess:

• Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations
• Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests, and identify the current and future needs of the member
• Proficient problem-solving approach to quickly assess current state and formulate recommendations
• Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions customers can understand and act upon
• Flexibility to customize approach to meet all types of member communication styles and personalities
• Proficient conflict management skills to include ability to resolve issues in a stressful situation and demonstrating personal resilience

Compensation and Benefits

As a Customer Service and Claims Representative, you'll be rewarded with:

• Competitive hourly rate ($16.00 - $28.27 per hour)
• Comprehensive benefits package, including medical, dental, and vision insurance
• Incentive and recognition programs
• Equity stock purchase and 401(k) contribution
• Opportunities for career growth and development

Application Deadline

This job posting will be live for a minimum of 2 business days or until a sufficient candidate pool has been collected. We encourage you to apply early to secure your spot in our team.

Diversity and Inclusion

At arenaflex, we believe that diversity creates a healthier atmosphere. We're an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Drug-Free Workplace

arenaflex is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

If you're passionate about delivering exceptional customer experiences and have a knack for resolving complex issues, we want to hear from you. Apply now to join our team as a Customer Service and Claims Representative. Apply Job! Apply for this job