Inbound Support Specialists

We are seeking dedicated and empathetic Inbound Support Specialists to join our team. The ideal candidate will be responsible for handling inbound calls to assist members with their health insurance claims. This role requires providing clear and accurate information, offering guidance on claim submissions, and resolving any issues relating to members' claims. This position requires communication skills and the ability to handle sensitive information. Key Responsibilities Take inbound calls from clients regarding their health insurance claims. Follow up with members on claim statuses, required documents, and any additional information needed. Assist members in understanding their health insurance coverage and claim processes. Provide detailed explanations of claims decisions and necessary next steps. Guide members through the process of submitting claims and appeals. Deliver customer service by actively listening to members' needs and concerns. Address and resolve member inquiries in a timely and professional manner. Ensure members feel supported and informed throughout their claims process. Accurately document all client interactions and updates in the company's CRM system. Prepare and maintain reports on call outcomes and client feedback. Follow up on unresolved issues and ensure they are addressed promptly. Adhere to company policies and procedures, including those related to privacy and confidentiality.

Required Qualifications Education:

High school diploma or equivalent is required.

Experience:

Previous experience in a call center environment is required.

Technical Skills:

Proficiency in using computer systems and navigating multiple software applications simultaneously is required. Preferred Qualifications Associate or bachelor's degree. Experience in the healthcare or insurance industry. Knowledge of health insurance terminology, claims processing procedures, and regulatory requirements. Compensation & Benefits The pay rate for this position is $19.00 per hour. This is a contract-to-hire opportunity with a contract length of approximately 5 months. Additional benefits may be available to eligible employees. This employer is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Apex uses a virtual recruiter as part of the application process. Click here for more details. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Benefits Department at [email protected] or 804-523-8228. Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.