Insurance CSR - WFH Call Center

HIRING NOW - CSR Call Center Insurance

We are seeking detail-oriented, empathetic, and solution-focused Remote Customer Service Representatives to join our team. In this role, you will leverage your specialized healthcare and Medicare knowledge to handle complex insurance inquiries, educate members and providers, and deliver high-energy, high-quality service on every call.

***Must reside in one of the following states: Alabama, Florida, Georgia, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, South Carolina, Texas, or Virginia.

Shift: Monday – Friday, 8:00 AM – 5:00 PM EST OR 12:00 PM – 8:00 PM EST

Pay Rate: $20.00/hour

Key Responsibilities

• Inquiry Resolution: Utilize creative problem-solving and critical thinking to analyze complex, ambiguous insurance questions and resolve inquiries on first contact.
• Effective Communication: Clearly explain complex healthcare concepts, policies, and procedures to members, providers, and colleagues in both verbal and written form.
• Record & Documentation: Accurately document detailed customer interactions, record corrective measures, and update claim or membership records as needed.
• Stakeholder Support: Perform proactive outreach to business partners to resolve service issues and identify opportunities to promote self-service channels and health programs.
• Quality & Compliance: Identify patterns of inconsistent claims practices, interface with government entities regarding product policies when necessary, and recommend process/system improvements to enhance the overall customer experience.

Position Requirements

• High School Diploma or GED required.
• 2+ years of Call Center experience.
• 2+ years of Open Enrollment and Medicare experience is REQUIRED.
• strong leadership qualities, empathy, telephone etiquette and active listening skills.

• Hardwired Internet Connectionrequired (Wi-Fi is not permitted for compliance reasons).

TO APPLY: Email Resume to: [email protected]

If this job is not for you, feel free to refer a friend.

Skills

• Call Center
• Call Center Support
• Insurance
• medicare
• enrollment
• open enrollment
• Customer Service
• health insurance
• medicaid
• Active Listening
• CRM

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.