**Experienced Customer Care Representative I (Contract) – Healthcare Insurance Benefits and Claims Support**

Remote Full-time
At arenaflex, we're dedicated to improving lives and communities by making healthcare simpler. As a Fortune 25 company with a longstanding history in the healthcare industry, we're looking for passionate leaders who are committed to making an impact on our members and the communities we serve. We're excited to announce a contract opportunity for an Experienced Customer Care Representative I to join our team and provide exceptional support to our FL Health Plan members.

**About arenaflex**

arenaflex is a health company that's passionate about making a difference in the lives of our members and the communities we serve. With a rich history in the healthcare industry, we're committed to delivering innovative solutions that simplify healthcare and improve outcomes. Our team is dedicated to providing exceptional customer service, and we're looking for like-minded individuals who share our passion for making a difference.

**Job Summary**

As an Experienced Customer Care Representative I, you'll play a critical role in supporting our FL Health Plan members by providing exceptional customer service and resolving their insurance benefits, provider contracts, eligibility, and claims-related inquiries. You'll work closely with our team to analyze problems, provide information and solutions, and develop and maintain positive customer relationships. If you're passionate about delivering exceptional customer service and making a difference in the lives of our members, we encourage you to apply for this exciting opportunity.

**Key Responsibilities**

* Respond to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
* Analyze problems and provide information and solutions to resolve customer inquiries.
* Operate a PC/image station to obtain and extract information, document information, activities, and changes in the database.
* Thoroughly document inquiry outcomes for accurate tracking and analysis.
* Develop and maintain positive customer relationships and coordinate with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
* Research and analyze data to address operational challenges and customer service issues.
* Provide external and internal customers with requested information.
* Under immediate supervision, receive and place follow-up telephone calls/e-mails to answer customer questions that are routine in nature.
* Use computerized systems for tracking, information gathering, and troubleshooting.
* Outbound calls are conducted in the ZipDrug business area.

**Requirements**

* High school diploma or equivalent and previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.
* Strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
* Basic skills in MS Excel and Outlook.
* Basic navigation skills in Google Chrome and Microsoft Edge.
* Healthcare and Medicare experience a plus.
* Minimum of 1 year of customer service experience.
* Medical training and/or HIPAA experience is advantageous.
* Familiarity with email (Outlook), online navigation, and data entry is a plus.

**Work Environment and Culture**

* arenaflex operates in a Hybrid Workforce Strategy, which means that contractors are required to work at an arenaflex location at least once per week, and potentially several times per week.
* Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
* Candidates must reside within 50 miles or 1-hour commute each way of a relevant arenaflex location.
* arenaflex is an equal opportunity employer and is committed to creating a diverse and inclusive work environment.

**Career Growth Opportunities and Learning Benefits**

* arenaflex offers a range of career growth opportunities, including the possibility of permanent hire and exposure to different plan aspects, valuable for other departments.
* Pathway to permanent positions with healthcare and other benefits.
* Excellent opportunity for career growth within the organization.
* arenaflex is committed to providing ongoing training and development opportunities to help you grow and succeed in your career.

**Compensation and Benefits**

* Compensation is discussed with BCforward, the employer, upon a job offer.
* The pay offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.
* BCforward offers all eligible employees a comprehensive benefits package, including major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

**Schedule**

* Training: 3 weeks, 8:30 am to 5 pm, remote.
* Nesting: 2 weeks, 8:30 am to 5 pm, remote.
* After training and nesting:
* Monday through Friday 8 hour shift between 8 am and 8 pm, remote from home.
* Occasional weekend days, 8 hour shift between 8 am and 8 pm, remote from home.
* Must be available to work the day after Thanksgiving, New Year's Day, and MLK Jr. Holiday.

**How to Apply**

If you're passionate about delivering exceptional customer service and making a difference in the lives of our members, we encourage you to apply for this exciting opportunity. Please submit your application through the link below:

Apply Now

**About BCforward**

BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally. BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

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