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Experienced Customer Care Representative II – Insurance Benefits and Provider Support

Remote Full-time Live

At arenaflex, we're dedicated to improving lives and communities by making healthcare simpler. As a Customer Care Representative II, you'll play a vital role in delivering exceptional customer experiences, ensuring our members receive the support they need to navigate their insurance benefits and provider contracts. If you're passionate about making a difference in the lives of others and thrive in a dynamic, adaptable work environment, we invite you to join our team.

About arenaflex

arenaflex is a Fortune 25 health company with a rich history in the healthcare industry. We're committed to creating a culture that advances our strategy, fosters personal and professional growth, and drives shared success for our consumers, associates, communities, and business. Our values and behaviors are the foundation of our culture, guiding us to achieve our goals and make a meaningful impact.

Job Summary

As a Customer Care Representative II, you'll be responsible for responding to customer inquiries via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims. You'll work collaboratively with various functions within arenaflex to ensure customer requests and questions are handled efficiently and effectively. Your expertise will be essential in analyzing problems, providing information and solutions, and developing positive customer relationships.

Key Responsibilities

* Analyze problems and provide information/solutions to customers via telephone and written correspondence

  • Operate a PC/image station to obtain and extract information, document activities and changes in the database
  • Thoroughly document inquiry outcomes for accurate tracking and analysis
  • Develop and maintain positive customer relationships, coordinating with various functions within arenaflex 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, proficient in all basic customer service functions
  • Receive and place follow-up telephone calls/e-mails to answer customer questions
  • Conduct outbound calls in the ZipDrug business area
  • Handle inquiries on a walk-in basis
  • May require deviation from standard practices and procedures with the assistance of a computerized system
  • Seek, understand, and respond to the needs and expectations of internal and external customers

Minimum Requirements

* High school diploma or equivalent and a minimum of 1 year of experience in an automated customer service environment; or any combination of education and experience that would provide an equivalent background

  • Strong oral, written, and interpersonal communication skills
  • Problem-solving skills, facilitation skills, and analytical skills
  • Ability to work in a fast-paced environment, handling multiple priorities and deadlines

Preferred Qualifications

* Experience in the insurance industry or a related field

  • Proficiency in computerized systems and software applications
  • Strong analytical and problem-solving skills
  • Ability to work independently and as part of a team
  • Excellent communication and interpersonal skills

Skills and Competencies

* Strong customer service skills, with the ability to analyze problems and provide information and solutions

  • Proficient in all basic customer service functions
  • Ability to work in a fast-paced environment, handling multiple priorities and deadlines
  • Strong analytical and problem-solving skills
  • Excellent communication and interpersonal skills
  • Ability to work independently and as part of a team

Career Growth Opportunities and Learning Benefits

At arenaflex, we're committed to helping our associates grow and develop their careers. We offer a range of training programs, mentorship opportunities, and career advancement paths to support your professional growth. Our learning benefits include:

  • On-the-job training and development programs
  • Mentorship opportunities with experienced colleagues
  • Career advancement paths and opportunities for promotion
  • Access to online learning platforms and training resources
  • Opportunities for professional certification and licensure

Work Environment and Company Culture

arenaflex operates in a Hybrid Workforce Strategy, which combines structured office engagement with the autonomy of remote work. This approach promotes a dynamic and adaptable workplace, allowing you to balance your work and personal life. Our company culture is built on our values and behaviors, which guide us to achieve our strategy, power our business outcomes, and drive shared success.

Compensation, Perks, and Benefits

We offer a range of market-competitive total rewards, including:

  • Merit increases
  • Paid holidays
  • Paid Time Off
  • Incentive bonus programs
  • Medical, dental, vision, short and long-term disability benefits
  • 401(k) + match
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources

How to Apply

If you're passionate about delivering exceptional customer experiences and making a difference in the lives of others, we invite you to apply for this exciting opportunity. Please submit your resume and cover letter to [arenaflex careers website]. We look forward to hearing from you!

Equal Employment Opportunity

arenaflex is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status or condition protected by applicable federal, state, or local laws. Apply for this job

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