Customer Care Advisor I – HI Claims
USAble Life
full-time
Posted on:
Location Type: Hybrid
Location: Honolulu • Hawaii • United States
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Salary
💰 $33,000 - $45,000 per year
About the role
- Demonstrates expertise in our products and services
- Provides exceptional service by listening, understanding, and demonstrating empathy for the caller's needs and situation
- Reviews and expertly explains coverage provisions, claim status, completes appropriate follow-up activities regarding coverage and claims and other service inquiries as assigned
- Effectively navigates multiple systems to answer more complex inquiries, investigates payment, and resolves concerns with a high degree of professionalism
- Acts as a member advocate by answering customer questions, offering alternative solutions, anticipating member needs, where appropriate, and setting expectations for future experience with USAble Life
- With increasing levels of independence processes and inputs policy premium information in appropriate systems and notifies companies of billing discrepancies
- Effectively works within the service teams, across teams, and with management to resolve customer requests, inquiries, and concerns.
- Partners with management to provide training and guidance to less experienced team members
- Maintains well-written and thorough documentation of service interactions to ensure comprehension by team members and customers
- Works cohesively as a team to meet customer service performance metrics
- May perform other duties as assigned
Requirements
- High School Diploma or equivalent
- 2 years of customer service experience
- Some college course work and/or secondary training in Insurance Field preferred
- LOMA 280/290 or 281/291 certification preferred
- Experience in healthcare, medical provider, insurance, medical terminology, claims processing and/or medical coding preferred
- SalesForce and/or CRM tool working knowledge and/or experience preferred
Benefits
- Outstanding and affordable benefits package
- Yearly bonus potential and annual increases
- PTO provided at date of hire
- 11 paid holidays
- 401(k) with up to 6% match; fully vested from day 1
- Team-oriented, collaborative group of peers
- Career advancement opportunities
- Tuition Reimbursement
- Employee Assistance Program
- Inclusion Council and Employee Resource Groups
- Recharge Days and Volunteer Time Off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims processingmedical codinginsurance knowledgecustomer service
Soft Skills
empathycommunicationteamworkproblem-solvingtraining
Certifications
LOMA 280LOMA 290LOMA 281LOMA 291