Consumer Service Specialist
About The Position
The Consumer Service Insurance Specialist will primarily be tasked with answering questions from consumers, and reviewing independent review request and insurance complaints. This is a great opportunity for individuals who are detail oriented and have a comprehensive knowledge of health insurance. Most of the independent review request and consumer complaint review work is done independently with ample opportunities for collaboration with a larger team to discuss issues or policy questions as they arise. Organizational skills as well as the ability to clearly communicate compliance issues with companies are integral to the position.
Requirements
- 3 or more years of experience in the health insurance industry including experience in: Claims administration, Consumer services, Conflict resolution or Consumer advocacy
- Experience in insurance products, consumer services, and conflict resolution.
- Knowledge of health insurance laws.
- Strong, well-rounded computer and writing skills.
- Ability to work both independently and within a team environment.
- Ability to read, understand, apply, and explain federal and state laws.
Nice To Haves
- Experience in health insurance products, claims administration, consumer services, and conflict resolution.
- Individuals with experience in advocating for consumers are preferred.
- Knowledge of health insurance laws.
- Strong, well-rounded computer and writing skills.
- Ability to work both independently and within a team environment.
- Ability to read, understand, apply, and explain federal and state laws.
Responsibilities
- Be professional and provide exceptional customer service at all times
- Advocate for health insurance consumers to ensure insurance benefits are compliant and provide required consumer protections.
- Review and analyze independent reviews to ensure compliance with federal and state laws.
- Effectively communicate with insurers regarding complaint findings.
Benefits
- Job Stability: Enjoy the security and reliability of employment within a well-established organization.
- Career Growth: Develop valuable skills and gain opportunities for leadership within a large organization.
- Meaningful Work: Contribute to an important service that benefits the community and supports organizational goals.
- Supportive Work Environment: Be part of a team that values cooperation, strong work ethics, and mutual support.
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What This Job Offers
Job Type
Part-time
Career Level
Mid Level
Education Level
No Education Listed
