Call Center Representative jobs at UnitedHealth Group

- 948 jobs

Senior Provider Enrollment Representative
Unitedhealth Group Inc. 4.6
Call center representative job at UnitedHealth Group
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Provider Enrollment Representative is responsible for preparing, submitting and maintaining provider and group enrollment applications while ensuring accuracy and compliance with NCQA, CMS and state regulatory standards. Schedule: Monday to Friday, 8 AM- 5 PM EST or CST Location: Remote- Nationwide You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Help process provider applications and re-applications including initial mailing, review and loading into the database tracking system * Submit 10 to 15 provider enrollment applications * Prepare, process, and maintain new provider and group enrollments * Conduct audits and provide feedback to reduce errors and improve processes and performance * Demonstrate great depth of knowledge/skills in own function and act as a technical resource to others * Solve complex problems on own; proactively identify new solutions to problems * Initiate and assist with developments/changes to increase or change quality and productivity * Act as a facilitator to resolve conflicts on team * Perform as key team member on project teams spanning more than own function Get ready for some significant challenge. This is a performance driven, fast paced environment where accuracy is key. You'll be helping us confirm to very exacting standards such as NCQA, CMS and state credentialing requirements. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * High School Diploma/GED (or higher) * 5+ years of experience in completing and submitting 10-15 behavioral health commercial/government provider enrollment applications * 5+ years of experience submitting with follow ups and issue resolution * 2+ years of experience with completing and submitting provider enrollment applications for Medicare/Medicaid * 2+ years of experience working with compliance workflows and processes, including NCQA policies and practices * 2+ years of experience in researching and applying government regulatory information * Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service * Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) * Ability to work a 40-hour work week from 8:00 am to 5:00 pm EST or CST * Ability to be on camera during Microsoft Teams meetings Preferred Qualifications: * Extensive knowledge of commercial, Medicaid, and Medicare provider enrollment applications * Intermediate level of proficiency with MS Excel and Word Soft Skills: * Effective time management and ability to multi-task * Demonstrated ability to successfully work in a production environment * Keen attention to detail * Self-starter * Ability to work independently and as a team * All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN
$27k-30k yearly est. 6d ago
Customer Service Representative
Plymouth Rock Assurance 4.7
Woodbridge, NJ jobs
Are you ready to embark on a rewarding career journey? At Plymouth Rock, we pride ourselves on fostering a dynamic and supportive service center environment where professionalism and teamwork are highly valued. If you're the kind of person who enjoys solving problems and helping others when they need it, this could be a great opportunity to start your career at Plymouth Rock! We're currently seeking passionate individuals to join our team as Customer Service Representatives, where you'll play a pivotal role in providing exceptional service to our valued customers, agents, and partners. As a Customer Service Representative, you'll be at the forefront of our customer interactions, handling inbound calls with efficiency and professionalism. RESPONSIBILITIES • Answer inquiries via phone, email and texting regarding policies, coverages, and premiums with confidence and accuracy. • Ensure first call resolution, making the customer experience as seamless as possible. • Develop and maintain comprehensive product knowledge across all three lines of insurance (Auto, Homeowner, and Umbrella). • Cultivate strong relationships with our agents and partners, contributing to our collaborative work environment. • Utilize your analytical and decision-making skills to address policy changes and corrections effectively. • Exceed customer and agent expectations by delivering top-notch service through positive interactions and extensive product expertise. • The ability to work a flexible schedule is a critical aspect of this position. Hours for this position are shifts between: 8:00am-7:00pm Monday - Friday and 10:00am-3:00pm every third Saturday. QUALIFICATIONS • Strong interpersonal, communication, and organizational skills. • Analytical mindset with good decision-making abilities. • Proficiency in computer skills and data entry. • High motivation to take ownership and follow up on tasks. • Flexibility to adapt to a fast-paced, changing environment. • Ability to work weekdays and rotational Saturdays. • High school diploma required, college degree is a plus! • Spanish language proficiency is a plus! SALARY RANGE The pay range for this position is $45,000 to $49,500 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity. PERKS & BENEFITS • 4 weeks accrued paid time off + 9 paid national holidays per year • Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision) • Annual 401(k) Employer Contribution • Free onsite gym at our Woodbridge Location • Resources to promote Professional Development (LinkedIn Learning and licensure assistance) • Robust health and wellness program and fitness reimbursements • Various Paid Family leave options including Paid Parental Leave • Tuition Reimbursement ABOUT THE COMPANY The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”. #LI-DNI
$45k-49.5k yearly 4d ago
Call Center Customer Service Representative
The Midtown Group 4.4
Washington, DC jobs
At least seventeen (17) Medicaid related Call Center Customer Service Representatives are needed for a long-term project in DC. These positions are 100% onsite and located downtown, near Farragut North Metro Station. The Midtown Group is teaming up with a leading technology company to support a D.C. government department that offers its residents a Medicaid program. Our collective goal is to modernize and optimize DC's Medicaid program while offering outstanding customer support. Our venture is focused on improving outcomes, enhancing provider experiences, and safeguarding program integrity. For this project, our partner will provide technology, and we will provide people and expertise across several functions, including contact center operations. Our Customer Service Representatives will support D.C. medical providers who need assistance with invoices and payments for service they provide DC Medicaid recipients. These positions are in-person, located in Downtown D.C. There are no plans to move to hybrid or fully remote models. Interviews begin on Thursday, 12/18/25, and these engagements are expected to start on 1/29/26 and may continue for up to two or three years or longer. Key job tasks CSRs have several job responsibilities, and some of the critical ones are: • Receive inbound contacts using the contact center platform, respond to general customer questions, provide consultancy using insurance and healthcare expertise available in the knowledgebase, and escalate to appropriate staff as needed. • Handle and process contacts so that service level targets are exceeded. • Process requests and document contacts, including updates to account history with results of the interaction to include proper documentation. This is critical, as this case history is referenced by CRSs and supervisors to understand what has taken place to date and how to best resolve an issue or progress a case. • Interface with team members, management, and customers to resolve customer service issues. • Review and recommend modifications to procedures and workflow, as needed, to ensure efficient and effective processing of transactions. • Conduct outbound customer contacts in response to customer direction or other business needs. • Attend twice-weekly pre-shift meetings, on Mondays and Thursdays, to hear essential information from supervisors, to participate in interactive Q&A, etc. • Follow contact center scripts, properly verify callers, gain permissions to disclose information, or assist, and fully document each contact. Performance measurement The Midtown Group measures performance in several ways, with the key ones being: • Quality Assurance assessments: CSRs may have their calls monitored and assessed at any time during a shift. We and our partner monitor and assess our CSRs regularly. CSRs are expected to maintain or exceed a QA pass rate of 90%+. Calls are considered failed if a CSR misses or incorrectly performs any critical element of the job. These items are well-covered in training and reinforced during pre-shift and individual coaching sessions. • Call handling metrics are a good measure of performance and the three focus areas are: • Percent of your shift that you are either on a call or available to take a call. • Length of call. We are here to provide efficient, professional assistance, so a consistent record of accomplishment of extraordinarily long or noticeably short calls is frowned upon. • Percent of calls that you transfer. This often indicates that a CSR is unable or unwilling to assist callers. • Attendance Minimum requirements • High School Diploma or equivalent, 2-year post-high school Degree, or bachelor's degree. • Typically, four + years of on-site/in-person multi-channel contact center experience in a similar or related field. • Proficiency with basic help desk software, computer software and Microsoft Office applications. • Problem-solving skills to bring inquiries to effective resolution. • Customer service skills, with an emphasis on written and oral communication, to respond to inquiries professionally and efficiently. • Medicaid and health insurance experience is strongly preferred. Other important skills The ability to provide exceptional customer service is important to the Midtown Group and our client. If you have the service gene - if helping others is in your DNA - we are happy to have you join us. Our most effective and successful Customer Service Representatives exhibit the following skills: • Conduct themselves with professionalism, empathy, patience, courtesy, and intact. • Communicate effectively, clearly, and professionally. • Listen carefully to understand the caller's situation, to determine the caller's needs, to read and understand the case history, and to provide the appropriate course of action. • Effectively collect and handle sensitive data and personal information, as needed. • Deal well with conflict, as well as complex and emotional situations. • Be flexible, and able to work independently. Hours, project duration, etc. The contact center operating hours are Monday through Friday, from 8:00am to 5:00pm ET. However, schedules will be between the hours of 7:45am to 5:15pm ET, to allow for pre-shift sessions and last-minute contacts/wrap up. The contact center is closed on Federal holidays. Candidates must be able to work 40 hours per week. The base period for this contract is one year, through November 2026, with two additional annual option periods. This contract could run for nearly three years, until November 2028
$33k-41k yearly est. 1d ago
Personal Lines Insurance CSR
Summit Bridge Partners 4.5
Baltimore, MD jobs
Personal Lines Client Service Representative A well-established insurance agency in Baltimore is seeking a proactive and detail-driven professional to join their personal lines team. This position is ideal for someone with a foundation in property and casualty insurance and a passion for providing excellent support to both internal teams and policyholders. You'll work closely with internal account managers, insurance carriers, and individual clients to ensure timely and accurate service for policies related to home, auto, and personal liability protection. Key Responsibilities Deliver responsive and high-quality service to clients via phone and email Assist with the intake, processing, and follow-up for policy updates, changes, and new account setup Maintain and update service records, documentation, and internal systems accurately Support service team in reviewing incoming policy data and troubleshooting issues Prepare routine correspondence, coverage summaries, and support documents Respond to carrier and client information requests in a timely, professional manner Help with premium comparisons, policy placement options, and remarketing efforts when needed Qualifications 2+ years of insurance experience required (personal lines) Active P&C license preferred but not required with the right experience Strong written and verbal communication skills Tech-savvy, detail-oriented, and organized Team-first mentality with a proactive and collaborative attitude Compensation & Benefits Competitive base pay range of $50,000 to $70,000 Full benefits package including health, dental, vision insurance and retirement contributions
$50k-70k yearly 1d ago
Customer Service Specialist
The Phoenix Group 4.8
Los Angeles, CA jobs
We are seeking a Workplace Experience team member to provide exceptional service and operational support across multiple areas of the office. This role plays a central part in creating a seamless and welcoming environment for employees and guests alike. Responsibilities span from front desk and meeting space coordination to travel support and urgent communication needs. What You'll Do Create a welcoming and polished experience for employees, clients, and guests. Deliver responsive, high-touch customer service in person, by phone, and through digital channels. Collaborate with teammates to share responsibilities and maintain seamless operations. Partner with other departments to direct inquiries and resolve issues efficiently. Serve as a local resource for workplace requests, ensuring smooth handling of needs ranging from logistics to event coordination. Safeguard sensitive and confidential information with the highest level of discretion. What We're Looking For Strong verbal and written communication skills. A customer-first mindset, with the ability to handle requests thoughtfully and professionally. Initiative and sound judgment to manage situations independently when needed. Your Background High school diploma or equivalent required. 3-5 years of experience in a similar environment (hospitality, reception, call center, facilities, or administrative support). Prior exposure to professional services or corporate environments a plus. The Phoenix Group Advisors is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination and harassment of any kind based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. We strive to attract talented individuals from all backgrounds and provide equal employment opportunities to all employees and applicants for employment.
$35k-45k yearly est. 4d ago
PHS Customer Service Representative
BMI Companies 4.3
Miami, FL jobs
BMI Companies, part of BMI Financial Group, Inc has nearly five decades of experience providing insurance and solutions for families worldwide. Specializing in high-quality Life Insurance, Health Insurance with global coverage, and Travel Assistance Plans, BMI is committed to innovating insurance products for the international community. About the Role: The PHS Customer Service Representative will be responsible for providing high-quality service and support to our life insurance policyholders. He/she will be handling inquiries, processing policy change service requests, resolving issues, and delivering accurate information efficiently and professionally. The PHS Customer Service Representative must be able to work in a high performance, customer-focused team environment, helping to maintain a positive customer experience while ensuring compliance with company standards and regulatory requirements. This is a 100% IN- OFFICE opportunity - Applying candidates MUST live in Miami, FL and be fluent in Spanish and English. Responsibilities: Respond to incoming emails, calls, and inquiries from policyholders, agents, and other stakeholders. Provide clear and accurate information regarding life plans, including billing, coverage details, and policy changes. Process policy service requests such as beneficiary updates, payment method changes, address changes, policy assignments, in-force illustrations, benefit payments, and other policy changes. Document all customer interactions and actions taken in the customer relationship management (CRM) system Assist with outbound calls or follow-ups as required. Provide limited customer service support to company local office affiliates. Assist with special projects as assigned. Contribute to team goals for service, accuracy, and customer satisfaction. Qualifications: Bilingual- Excellent written and verbal communication in Spanish and English a must. Associate or Bachelor's Business Degree Preferred Experience in customer service (minimum two years) preferably in the insurance or financial services sector. Previous customer service experience with LATAM customers a PLUS Knowledge of life insurance products and terminology. Customer focused mindset with empathy and patience. Ability to multi-task and manage time effectively. Attention to detail and high level of accuracy in data entry and documentation. Familiarity with CRM systems and Microsoft Office software Committed team player who actively supports colleagues and contributes to team goals.
$26k-38k yearly est. 1d ago
Customer Service Representative
Network Adjusters, Inc. 4.1
Farmingdale, NY jobs
Network Adjusters is seeking a friendly, organized, and proactive individual to join our customer service team in our New York office in Farmingdale. The ideal candidate has excellent communication and customer service skills. He/she has an excellent understanding of administrative and clerical procedures/systems and the ability to multitask in a paperless environment. Your primary role will be to enter claims, address inquiries, resolve issues, and ensure customer satisfaction through effective communication and problem-solving skills. COMPANY DESCRIPTION: Network Adjusters, Inc. has been serving the insurance industry for almost seven decades and provides third-party claims administration and independent adjusting services to its clients. We offer flexible, cost-effective products tailored to the specific needs of our clients. Our services focus on achieving early claims resolution while maximizing savings on expenses and loss pay out. The company is located in Farmingdale, NY. RESPONIBILITIES: Communicate with clients, insureds, claimants and providers via phone and email Provide knowledgeable answers to questions about claims status and processes Work with internal departments to meet clients needs Data entry in various platforms, including claims intake, claims processing, preparing files for audits Provide claims and administrative support to Adjusters including but not limited to letters, forms, closings, filing of ISO, CIB and NICB Perform DMV, Locate, Asset and Police Report searches Faxing and copying, as needed QUALIFICATIONS: At least 1 - 3 years' of relevant work experience Excellent phone etiquette and excellent verbal, written, and interpersonal skills Working knowledge of Microsoft Office Suite and other office equipment Associate's degree or equivalent experience preferred Ability to learn new systems and adapt Clerical skills including data entry, record keeping, and confidentiality Highly organized, detail-oriented, able to multitask effectively, and work independently Experience working in an insurance or related business would be beneficial but is not required. PHYSICAL REQUIREMENTS/ADA: This position requires the ability to work in an office environment, including using a computer, attending meetings, working as part of a team, and the ability to communicate with team members and others. Regular attendance also is a requirement of the position as this role requires in-office presence. (This role is located in Farmingdale, NY) BENEFITS: • Training/Development and Growth opportunities • 401(k) with company match • Comprehensive health plans • Strong work/family and employee assistance programs • Flexible work hours • Comprehensive health plans including dental and vision coverage • Flexible spending account • Health insurance • Life insurance • Paid time off / company holidays • Referral program Starting pay for this position: $25.00 per hour
$25 hourly 1d ago
Commercial Lines Cust Service Rep
Summit Bridge Partners 4.5
Baltimore, MD jobs
About the Role The Commercial Lines Client Service Representative plays a vital role in supporting our commercial clients and ensuring their insurance needs are met with professionalism and care. As the primary point of contact for business clients, you will deliver exceptional service, provide expert guidance on commercial coverage, and maintain strong client relationships. This position is key to sustaining our reputation for excellence and driving client retention. Key Responsibilities ● Provide timely and professional assistance to commercial clients regarding their insurance policies, including coverage questions, billing inquiries, and policy changes. ● Process new business applications, renewals, endorsements, audits, and cancellations accurately and efficiently. ● Proactively identify client needs and recommend appropriate coverage options or enhancements to protect their business. ● Maintain accurate client and policy information in the agency management system. ● Assist in the claims process by guiding clients and collaborating with carriers to ensure fair and timely resolution. ● Coordinate with producers and underwriters to deliver comprehensive solutions for complex commercial accounts. About the Candidate The ideal candidate has a strong background in customer service and experience working with commercial insurance accounts. They excel at building lasting relationships with business clients and explaining complex coverage in clear, understandable terms. Highly organized and detail-oriented, they thrive in fast-paced environments and manage multiple priorities with accuracy. Their proactive communication and commitment to service excellence make them an invaluable member of the team. Qualifications Experience: 2+ years in a customer service role, preferably within commercial insurance. Active P&C license preferred but not required with the right experience Strong written and verbal communication skills Tech-savvy, detail-oriented, and organized Experience with an agency management system is a plus. Team-first mentality with a proactive and collaborative attitude Compensation & Benefits Competitive base pay range of $60,000 to $80,000 Full benefits package including health insurance and retirement contributions Free parking Work Environment In-office role (Monday to Friday schedule). Communication channels include phone, email, and team collaboration platforms Small team with supportive culture and a mix of independent and group tasks
$60k-80k yearly 1d ago
Customer Service Representative
The Phoenix Group 4.8
Los Angeles, CA jobs
We are seeking a Workplace Experience team member to provide exceptional service and operational support across multiple areas of the office. This role plays a central part in creating a seamless and welcoming environment for employees and guests alike. Responsibilities span from front desk and meeting space coordination to travel support and urgent communication needs. Responsibilities Create a welcoming and polished experience for employees, clients, and guests. Deliver responsive, high-touch customer service in person, by phone, and through digital channels. Collaborate with teammates to share responsibilities and maintain seamless operations. Partner with other departments to direct inquiries and resolve issues efficiently. Serve as a local resource for workplace requests, ensuring smooth handling of needs ranging from logistics to event coordination. Safeguard sensitive and confidential information with the highest level of discretion. Qualifications At least 3+ years of relevant work experience Excellent phone etiquette and excellent verbal, written, and interpersonal skills Ability to multi-task, organize, and prioritize work A customer-first mindset, with the ability to handle requests thoughtfully and professionally. Initiative and sound judgment to manage situations independently when needed.
$33k-43k yearly est. 3d ago
Customer Service Representative
The Phoenix Group 4.8
New York, NY jobs
We are seeking a Workplace Experience team member to provide exceptional service and operational support across multiple areas of the office. This role plays a central part in creating a seamless and welcoming environment for employees and guests alike. Responsibilities span from front desk and meeting space coordination to travel support and urgent communication needs. What You'll Do Create a welcoming and polished experience for employees, clients, and guests. Deliver responsive, high-touch customer service in person, by phone, and through digital channels. Collaborate with teammates to share responsibilities and maintain seamless operations. Partner with other departments to direct inquiries and resolve issues efficiently. Serve as a local resource for workplace requests, ensuring smooth handling of needs ranging from logistics to event coordination. Safeguard sensitive and confidential information with the highest level of discretion. What We're Looking For Strong verbal and written communication skills. A customer-first mindset, with the ability to handle requests thoughtfully and professionally. Initiative and sound judgment to manage situations independently when needed. Your Background High school diploma or equivalent required. 3-5 years of experience in a similar environment (hospitality, reception, call center, facilities, or administrative support). Prior exposure to professional services or corporate environments a plus. The Phoenix Group Advisors is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination and harassment of any kind based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. We strive to attract talented individuals from all backgrounds and provide equal employment opportunities to all employees and applicants for employment.
$31k-40k yearly est. 3d ago
Client Services Representative
Hardenbergh Insurance Group 4.0
Vineland, NJ jobs
Client Services Representative - Personal Insurance 📍 Vineland, NJ (Hybrid) 🕒 Full-Time | Non-Exempt Are you passionate about delivering exceptional customer service and supporting clients when they need it most? Our Personal Insurance team is looking for a detail-oriented Client Services Representative to help ensure our clients receive timely, accurate, and professional support every day. What You'll Do: As a key member of our Personal Insurance Department, you'll support our Account Management team by: ✔ Answering and directing incoming client calls ✔ Assisting Spanish-speaking clients with their service needs ✔ Processing requests for evidence of insurance ✔ Handling urgent mortgage company requests ✔ Taking client payments over the phone ✔ Maintaining accurate data in our Agency Management System ✔ Following all departmental procedures and compliance requirements ✔ Assisting with special projects as assigned by the Department Manager What We're Looking For: To be successful in this role, you should bring: 🔹 A New Jersey Property & Casualty Producer License (Required) 🔹 Proficiency in Microsoft Office Suite (Required) 🔹 Bilingual fluency in English and Spanish (Required) 🔹 Strong communication skills-clear, concise, and professional 🔹 Ability to navigate carrier websites and databases 🔹 Solid problem-solving skills and attention to detail 🔹 Commitment to following agency systems, procedures, and compliance regulations Why You'll Love Working With Us: 💼 Supportive, team-oriented environment 📚 Opportunities to grow your insurance knowledge 🏢 Stable and reputable agency with long-term client relationships How to Apply: If you're ready to make an impact and grow your insurance career, we'd love to hear from you! 👉 Apply directly on LinkedIn or send your resume to: ******************* Shara D. Richardson - Talent Acquisition Specialist
$41k-67k yearly est. 2d ago
Commercial Lines Customer Service Representative
Brown & Brown 4.6
Meridian, ID jobs
Brown & Brown is seeking a Commercial Client Service Representative to join our growing team in Meridian, Idaho! The Commercial Lines Customer Service Representative will be responsible for servicing client requests and questions, providing prompt, efficient, high-quality service, and assisting in the retention of existing accounts and quoting new business. How You Will Contribute : Provide service to existing clients via inbound calls, emails, and daily tasks Make outbound phone calls to provide customer service Quote and Bind insurance with various carriers for existing clients Respond to requests for certificates of insurance or auto ID cards Maintain a concern for timeliness and completeness on all service requests Utilize an electronic filing manager to maintain documentation and compliance Notate and file documents in our agency management system Skills & Experience to Be Successful: High school diploma or equivalent required Knowledge of Microsoft Office 365 (Outlook, Excel, OneNote, etc.) Strong oral and written communication skills Strong typing skills Exceptional customer service and interpersonal skills Demonstrated critical thinking and problem-solving skills 1-3 years of Commercial Insurance experience P&C license required or able to obtain within 90 days of hire AMS360 experience Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more. Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. The Power To Be Yourself As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.
$28k-33k yearly est. 3d ago
Customer Service Representative
Plymouth Rock Assurance 4.7
Fort Washington, PA jobs
Are you ready to embark on a rewarding career journey? At Plymouth Rock, we pride ourselves on fostering a dynamic and supportive service center environment where professionalism and teamwork are highly valued. If you're the kind of person who enjoys solving problems and helping others when they need it, this could be a great opportunity to start your career at Plymouth Rock! We're currently seeking passionate individuals to join our team as Customer Service Representatives, where you'll play a pivotal role in providing exceptional service to our valued customers, agents, and partners. As a Customer Service Representative, you'll be at the forefront of our customer interactions, handling inbound calls with efficiency and professionalism. RESPONSIBILITIES • Answer inquiries via phone, email and texting regarding policies, coverages, and premiums with confidence and accuracy. • Ensure first call resolution, making the customer experience as seamless as possible. • Develop and maintain comprehensive product knowledge across all three lines of insurance (Auto, Homeowner, and Umbrella). • Cultivate strong relationships with our agents and partners, contributing to our collaborative work environment. • Utilize your analytical and decision-making skills to address policy changes and corrections effectively. • Exceed customer and agent expectations by delivering top-notch service through positive interactions and extensive product expertise. • The ability to work a flexible schedule is a critical aspect of this position. Hours for this position are shifts between: 8:00am-7:00pm Monday - Friday and 10:00am-3:00pm every third Saturday. QUALIFICATIONS • Strong interpersonal, communication, and organizational skills. • Analytical mindset with good decision-making abilities. • Proficiency in computer skills and data entry. • High motivation to take ownership and follow up on tasks. • Flexibility to adapt to a fast-paced, changing environment. • Ability to work weekdays and rotational Saturdays. • High school diploma required, college degree is a plus! • Spanish language proficiency is a plus! PERKS & BENEFITS • 4 weeks accrued paid time off + 9 paid national holidays per year • Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision) • Annual 401(k) Employer Contribution • Free onsite gym at our Woodbridge Location • Resources to promote Professional Development (LinkedIn Learning and licensure assistance) • Robust health and wellness program and fitness reimbursements • Various Paid Family leave options including Paid Parental Leave • Tuition Reimbursement ABOUT THE COMPANY The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
$33k-39k yearly est. 4d ago
Customer Service Representative
Brightway Insurance 4.4
Jacksonville, FL jobs
Brightway Insurance is a leading property and casualty insurance distribution company with over 300 franchise locations in 35 states. We pride ourselves on delivering exceptional customer experiences and empowering our agents with innovative tools and support. We are currently seeking Customer Service Representative (CSR) to join our team Position Summary: As a CSR, you will play a key role in ensuring our clients receive excellent service and support. You'll assist both new and existing customers by answering questions, processing changes to policies, handling billing inquiries, and supporting sales efforts when needed. Responsibilities: Provide exceptional customer service to policyholders via phone, email, and in-person interactions Assist clients with policy changes, billing inquiries, claims, and general insurance questions Educate clients on available coverages, products, and discounts Maintain accurate records in our CRM and carrier systems Collaborate with agents and producers to ensure a seamless customer experience Support retention efforts by identifying opportunities for cross-selling and upselling Qualifications: High school diploma or equivalent required; college degree a plus 4-40 Customer Service License required 1+ years of experience in insurance or a customer service-related role preferred Strong communication and interpersonal skills Detail-oriented with excellent organizational abilities Proficient in Microsoft Office Suite and comfortable learning new software Why Join Us? Competitive salary plus performance bonuses Opportunities for career growth and professional development Supportive team environment Work that makes a difference in people's lives
$27k-33k yearly est. 3d ago
Senior Customer Service Representative
Brightway Insurance 4.4
Melbourne, FL jobs
The Senior Customer Service Representative supports the daily operations of the agency by providing advanced customer service, policy support, and account management. This role acts as a primary point of contact for clients, resolves complex inquiries, assists with policy changes, and ensures exceptional service delivery while maintaining compliance with state and carrier requirements. Client Service & Support Serve as the main contact for policyholders, delivering high-quality service via phone, email, and in-person interactions. Handle complex customer inquiries related to coverage, billing, claims, renewals, and endorsements. Assist clients with policy changes, cancellations, reinstatements, and general account updates. Review client accounts to ensure accuracy and identify gaps in coverage or service needs. Policy Administration Process endorsements, certificates of insurance, evidence of insurance, bind requests, and other policy documentation. Support new business and renewal processes by gathering required information and preparing applications. Verify policy accuracy, rating information, and carrier guidelines prior to final processing. Coordinate with insurance carriers on underwriting requirements, coverage questions, and policy adjustments. Claims Support Guide clients through the claims filing process and provide follow-up as needed. Act as a liaison between carriers, adjusters, and policyholders to ensure timely updates. Team & Operational Support Assist in workflow improvement, procedure updates, and best-practice implementation. Maintain compliance with all state regulations, company policies, and carrier requirements. Customer Experience & Retention Build strong client relationships through responsive service and proactive communication. Identify opportunities for cross-selling or up-selling appropriate P&C products (within 4-40 license permissions). Support retention efforts by reviewing renewal options and assisting in remarketing when needed. Required Qualifications Valid Florida 4-40 Customer Representative License. 3-5+ years of customer service or account management experience in a Property & Casualty insurance environment. Strong knowledge of personal lines and/or commercial lines insurance products, coverage forms, and terminology. Proficiency with insurance management systems (e.g., Applied Epic, AMS360, QQ, Hawksoft) preferred. Excellent communication, problem-solving, and organizational skills. Ability to work independently, prioritize tasks, and manage high-volume workloads.
$33k-38k yearly est. 2d ago
Senior Customer Service Representative
Brightway Insurance 4.4
Boca Raton, FL jobs
The Senior Customer Service Representative supports the daily operations of the agency by providing advanced customer service, policy support, and account management. This role acts as a primary point of contact for clients, resolves complex inquiries, assists with policy changes, and ensures exceptional service delivery while maintaining compliance with state and carrier requirements. Client Service & Support Serve as the main contact for policyholders, delivering high-quality service via phone, email, and in-person interactions. Handle complex customer inquiries related to coverage, billing, claims, renewals, and endorsements. Assist clients with policy changes, cancellations, reinstatements, and general account updates. Review client accounts to ensure accuracy and identify gaps in coverage or service needs. Policy Administration Process endorsements, certificates of insurance, evidence of insurance, bind requests, and other policy documentation. Support new business and renewal processes by gathering required information and preparing applications. Verify policy accuracy, rating information, and carrier guidelines prior to final processing. Coordinate with insurance carriers on underwriting requirements, coverage questions, and policy adjustments. Claims Support Guide clients through the claims filing process and provide follow-up as needed. Act as a liaison between carriers, adjusters, and policyholders to ensure timely updates. Team & Operational Support Provide guidance and support to junior CSRs and team members. Assist in workflow improvement, procedure updates, and best-practice implementation. Maintain compliance with all state regulations, company policies, and carrier requirements. Customer Experience & Retention Build strong client relationships through responsive service and proactive communication. Identify opportunities for cross-selling or up-selling appropriate P&C products (within 4-40 license permissions). Support retention efforts by reviewing renewal options and assisting in remarketing when needed. Required Qualifications Valid Florida 4-40 Customer Representative License. 3-5+ years of customer service or account management experience in a Property & Casualty insurance environment. Strong knowledge of personal lines and/or commercial lines insurance products, coverage forms, and terminology. Proficiency with insurance management systems (e.g., Applied Epic, AMS360, QQ, Hawksoft) preferred. Excellent communication, problem-solving, and organizational skills. Ability to work independently, prioritize tasks, and manage high-volume workloads.
$33k-38k yearly est. 3d ago
Welcome Call Specialist
Group Health Cooperative 3.2
Altoona, WI jobs
The Welcome Call Specialist is responsible for providing exceptional customer service and welcoming all new Group Health members to the health plan. Functions Make outbound welcome calls to our members in a pleasant, professional and efficient manner assuring exceptional customer service. Document all incoming and outgoing calls, changes and follow-up information in the Electronic Care Management system. Each call should cover the basic benefits of the product line and highlight the services we provide. Assist members with valid phone numbers for services covered under Forward Health and other helpful resources. Complete assessments with our members in a pleasant, professional, and efficient manner assuring exceptional customer service. Educate members on plan policies and procedures at every opportunity. Make members aware of transportation, telehealth or additional services provided through their health plan benefits. Keep up to date on the various plans and benefit structure under the product lines. Comply with all company policies and procedures. Minimum Requirements of the Position High school graduate or equivalent. Minimum one year of customer service experience, call center experience preferred. Excellent communication and customer service skills. Proficient in the use of Microsoft Word and Excel. Knowledge of Medicare, Medicaid, CPT / ICD 10 medical billing codes, and medical terminology are beneficial. Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate, exclude or treat candidates less favorably on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity; and sex stereotypes). The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard. This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: ************************. Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.
$34k-41k yearly est. Easy Apply 3d ago
Health Insurance Call Center Representative (Medicare)
Integrity Marketing Group 3.7
Clearwater, FL jobs
About Insurance Administrative Solutions Insurance Administrative Solutions (IAS) is a third-party provider of comprehensive administrative solutions for our clients in the insurance industry. We offer a business process outsourcing solution that helps insurers optimize administrative workload, bolster their industry expertise, leverage emerging technologies, and streamline operations. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results. Here at IAS, we embrace the fact that great things are only accomplished by working as a team. We believe that all of our employees have valuable input no matter the level. Our highly collaborative team environment offers each of our employees a place where they can excel. Job Summary Examine, perform, research and make the decisions necessary to properly adjudicate telephone and written inquiries. Interpret contract benefits in accordance with specific claims processing guidelines. Communicate problems identified relevant to the claims processing system to the appropriate people. Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decisions. Maintain external contacts with policyholders, providers of service, agents, attorneys and other carriers as well as internal contacts with peers, management, and other support areas with a positive and professional approach. Primary Responsibilities: * Interpret contract benefits accurately to policyholder, agents, and providers with a positive and professional approach. * Provide claim status to policyholders or providers with a positive and professional approach. * Send out refund request letters and follow-up as necessary. * Produce correspondence to customers. * Answer calls as required by company policy in a helpful, professional, timely manner. * Place outgoing calls as needed to provide or obtain information. * Document (written/on-line) all calls while in progress. * Transfer calls to employees in other departments as required to meet customer needs. * Fully document policy file or imaging system with all related material so as to leave a clear and concise audit trail. * Actively participate in cross training and group training sessions to maximize team efficiency and maintain or exceed service standards. * Communicate openly with Supervisor, Team Lead and other team members to ensure accurate responses and avoid duplication of efforts. Primary Skills & Requirements: * High School Diploma or GED equivalent * Minimum of one (1) year related experience in a fast paced call center required. * Experience in medical/insurance preferred. * Experience with Medicare Supplement preferred. * Must be local or residing in the nearby area. Schedule: * Monday to Friday * 37 hour work week About Integrity Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead. Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com. Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.
$23k-34k yearly est. Auto-Apply 24d ago
Provider Call Center Business Specialist
HMSA 4.7
Urban Honolulu, HI jobs
Collect, analyze, and utilize data and feedback related to the Provider Call Center to provide audit oversight upon predefined contractual criteria and identify opportunities to improve operations between HMSA and the vendor team. This will include direct communication and participation with the Vendor Management Office (VMO) and Transformation Management Office (TMO). Compile reports about incidents, events, and updates regarding provider HHIN and phone inquiry issues and provide database management for any escalations. Gathers, reviews, and analyzes information to identify trends, issues, and potential problems and solutions related to development and implementation, including but not limited to new products or services, contract deliverables, enhancements to add functionality and/or redesigns of systems, both manual and automated, to improve efficiency, financial models of costing and pricing. This includes reviewing and validating new implementations. Initiates the development of strategies and tactics based on logical assumptions and facts considering resources, constraints, and HMSA values. Provides critical assessments of information and data about current trends and issues and actively and openly shares with appropriate parties to encourage collaboration for improvement and change. Translates analysis into solutions and/or options for consideration of specific HMSA actions, including business process improvements. Conducts ongoing research and analysis to assess changing needs of our industry. Provides quality, objective, and professional analysis. Initiate change and evaluate impact. Communicate with vendor team and internal stakeholders to quickly and accurately obtain or provide information regarding HHIN inquiry and provider call updates. Works directly with cross-departmental team members to complete tasks and provide status updates. Works with the project team, HMSA departments and external partners to monitor, collect, communicate, and distribute information. Communicates analysis, assessments, recommendations and completed work product through professional written and verbal reports and presentations. Conducts presentations to all levels of the organization (unit meetings, department meetings, management meetings, etc.) and our vendor partner to ensure reporting of quality outcomes are consistent and understood. Provides guidance and assistance to the vendor team to ensure training programs are up-to-date and effective. Communicate process changes to vendor to stay current with government and commercial health plans, agencies and other entities' guidelines. Engages and collaborates with project staff and subject matter experts with the planning and implementation of project and sub project work efforts. Supplies or advises in the development of requirements, reports, budgets, and other analyses, and help solve operational issues and roadblocks. Organize, maintain, and keep readily accessible, all references, documents, policies, and procedures to ensure accuracy on the part of the vendor. Read, analyze, and interpret business documents such as HMSA's Medical Policy Manual, plan certificates and Guide to Benefits, statistical data, product development memos and documents published by Blue Cross and Blue Shield Association related to program compliance; the Federal and/or state governments pertinent to the business (i.e. Federal Register, CMS guidelines, Hawaii Revised Statutes (H.R.S). Work collaboratively with the Customer Relations Content Administrator to ensure online resources are up to date. Ensures all appropriate processes are followed and documentation is completed as required by acting as quality control checkpoint verifying standards are adhered to. Proactively resolve issues that could impact providers and members and providers. Maintain knowledge of current health plan and agency requirements. Performs all other miscellaneous responsibilities and duties as assigned or directed.
$38k-42k yearly est. 2d ago
Provider Call Center Business Specialist
HMSA 4.7
Urban Honolulu, HI jobs
* Collect, analyze, and utilize data and feedback related to the Provider Call Center to provide audit oversight upon predefined contractual criteria and identify opportunities to improve operations between HMSA and the vendor team. This will include direct communication and participation with the Vendor Management Office (VMO) and Transformation Management Office (TMO). Compile reports about incidents, events, and updates regarding provider HHIN and phone inquiry issues and provide database management for any escalations. * Gathers, reviews, and analyzes information to identify trends, issues, and potential problems and solutions related to development and implementation, including but not limited to new products or services, contract deliverables, enhancements to add functionality and/or redesigns of systems, both manual and automated, to improve efficiency, financial models of costing and pricing. This includes reviewing and validating new implementations. * Initiates the development of strategies and tactics based on logical assumptions and facts considering resources, constraints, and HMSA values. Provides critical assessments of information and data about current trends and issues and actively and openly shares with appropriate parties to encourage collaboration for improvement and change. Translates analysis into solutions and/or options for consideration of specific HMSA actions, including business process improvements. * Conducts ongoing research and analysis to assess changing needs of our industry. Provides quality, objective, and professional analysis. Initiate change and evaluate impact. * Communicate with vendor team and internal stakeholders to quickly and accurately obtain or provide information regarding HHIN inquiry and provider call updates. * Works directly with cross-departmental team members to complete tasks and provide status updates. Works with the project team, HMSA departments and external partners to monitor, collect, communicate, and distribute information. * Communicates analysis, assessments, recommendations and completed work product through professional written and verbal reports and presentations. Conducts presentations to all levels of the organization (unit meetings, department meetings, management meetings, etc.) and our vendor partner to ensure reporting of quality outcomes are consistent and understood. * Provides guidance and assistance to the vendor team to ensure training programs are up-to-date and effective. * Communicate process changes to vendor to stay current with government and commercial health plans, agencies and other entities' guidelines. * Engages and collaborates with project staff and subject matter experts with the planning and implementation of project and sub project work efforts. Supplies or advises in the development of requirements, reports, budgets, and other analyses, and help solve operational issues and roadblocks. * Organize, maintain, and keep readily accessible, all references, documents, policies, and procedures to ensure accuracy on the part of the vendor. * Read, analyze, and interpret business documents such as HMSA's Medical Policy Manual, plan certificates and Guide to Benefits, statistical data, product development memos and documents published by Blue Cross and Blue Shield Association related to program compliance; the Federal and/or state governments pertinent to the business (i.e. Federal Register, CMS guidelines, Hawaii Revised Statutes (H.R.S). Work collaboratively with the Customer Relations Content Administrator to ensure online resources are up to date. * Ensures all appropriate processes are followed and documentation is completed as required by acting as quality control checkpoint verifying standards are adhered to. * Proactively resolve issues that could impact providers and members and providers. * Maintain knowledge of current health plan and agency requirements. * Performs all other miscellaneous responsibilities and duties as assigned or directed. * Bachelor's degree and two years of related work experience; or equivalent combination of education and work experience. * Effective verbal and written communication skills * Strong project and process management skills * Basic knowledge of Microsoft Office applications including Word, PowerPoint, Excel, and Outlook.
$38k-42k yearly est. 34d ago