At NationsBenefits, we are committed to helping our customers achieve a better quality of life through supplemental benefit solutions. We are also passionate about supporting the goals of our associates and helping them do their best work. Together, we can make a meaningful and measurable difference in the lives of millions. That's something we can all be proud of.

It all begins with how we care about the people we serve. Since 2015, our mission has guided our principles towards delivering solutions for a rapidly changing industry. Compassionate Care is at the center of all we do, and it unites us to foster an environment where everyone is empowered, inspired, and equipped for success.

We offer a fulfilling work environment that attracts top talent and encourages all associates to do their part in delivering best-in-class service to internal and external customers alike. It's how we're transforming the healthcare industry for the better. We provide career advancement opportunities from within the organization with multiple locations in Florida, California, Tennessee, Pennsylvania, Utah, and India.

You might also like to know that NationsBenefits is also recognized as one of the fastest-growing companies in America. We're proud of how far we've come, and a career with us gives you growth opportunities, too.

WHAT WE NEED:

Member Services Call Center Representatives who will work closely with other team members to provide outstanding service to our customers by answering questions, gathering information, handling complaints, and troubleshooting problems on our client's behalf. The member services call center representative applies knowledge of business, products, members, and operations to fulfill member service requests and inquiries accurately and effectively.  They will listen to callers to understand the reason for their call, address all questions, provide an accurate and efficient response, and follow the workflow for their designated role. 

WHAT YOU'LL DO:

• Completing inbound/outbound calls to members to learn about and address their needs or the needs of the clients we serve.

• Responding efficiently and accurately to callers

• Research and resolve inquiries from internal /external customers including Enrollment, eligibility, ID cards, clinic changes, demographic changes, benefit coverage, claims, payments, member reimbursement, and demonstrated knowledge of CAG policies, procedures, and regulations. Utilize appropriate resources to respond to member inquiries.

• Answer, resolve, track and document telephone calls from members and providers in a timely and professional manner. Interpret member eligibility and coverage through thorough knowledge of the client products, policies, and procedures.

• Following the workflows and appropriate data capture in appropriate systems

• Ensuring that callers feel supported and valued.

• Engaging in active listening with callers, confirming or clarifying information and diffusing angry clients, as needed.

• Utilizing software, databases, scripts, and tools appropriately.

• Meet or exceed call center metrics while providing excellent consistent customer service.

• Complete training and other learning opportunities to expand knowledge of company and position.

• Ability to remain confidential with all proprietary information.

• Adherence to all NationsBenefits, HIPAA, and MCO / Medicare guidelines.

• Performs additional duties as assigned by Management based business demands.

• Ability to work independently and capable of exercising excellent judgment to resolve Member related issues that arise.

• Ability to work a flexible schedule based on operational demands (day, night, weekends, holidays)

• It is vital to your success here that you complete all required training on time. Therefore, unexcused absences are not permitted during the training period.  If you are unable to clear your schedule for the entire period, let us know now so we can consider you for a future start date

• While we try accommodate schedules, NationsBenefits has client commitments that require us to be open 24/7/365 and you agree to work your assigned schedule at the end of the training period.

• WHAT WE ARE LOOKING FOR:

• Exceptional customer service, active listening, and verbal and written communication skills, professional phone voice.

• Understanding of health insurance products, services, and policies is a plus.

• Proficiency with computers, especially with CRM software, and strong typing skills.

• Ability to ask prying questions and diffuse tense situations.

• Strong time management and decision-making skills.

• Adaptability and accountability.

WHAT YOU WILL NEED:

• High school diploma or equivalent.  College degree is a plus.

• Minimum 1 year customer service experience required

• 1+ years call center experience preferred; healthcare industry is a plus.

• Fluency in two or more languages is a plus.

WHAT WE OFFER:

Our pay philosophy is to motivate associates and reward them for their skills and contributions to the company with competitive base pay. We also show our gratitude through supplemental pay, including overtime, raises, and performance bonuses. You can earn even more through referral bonuses. We also offer a variety of benefits that promote the health and well-being of our associates and their families. If you join the company, you will have the opportunity to choose from a comprehensive benefits package including medical, dental, vision, life, accident, disability insurance, and paid holidays/time off. We invest in the employee experience through training and development opportunities. Achieve your potential and grow your career with NationsBenefits. Position pays $16-$18/hour.

We are committed to providing fair compensation to all colleagues, including performance-based compensation incentives and a 401(k) retirement plan for eligible colleagues. We meet all state and federal minimum wage requirements.

DIVERSITY, INCLUSION, AND BELONGING

NationsBenefits is an equal opportunity employer. We do not discriminate in recruiting, hiring, or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability, or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law.

WE WANT YOU TO JOIN OUR TEAM!

Your next career starts here, visit NationsBenefits.com/Careers