Work at Home Customer Service Advisor (Ohio residents)

Morley•UNAVAILABLE, Ohio

13d•Remote

About The Position

This is a full-time, early-career work-from-home customer service role for Ohio residents in a structured contact center environment. The advisor handles health insurance questions from customers, health care providers, and beneficiaries, primarily by phone and as needed by email. Topics include benefits, eligibility, payments, quality-of-care concerns, and other issues. The role involves listening carefully, empathizing, assessing each situation, navigating multiple computer systems, explaining policies and benefit details, and resolving or routing inquiries with accurate, professional communication. The work includes a steady volume of calls, repetitive processes, required documentation, and calls that may be recorded and reviewed for quality and compliance. Schedules are assigned based on a schedule bid using performance metrics, and flexibility is limited. Operating hours are Monday through Friday, 8 a.m. to 9 p.m. Eastern, with possible weekend work from October through March. Training is provided. The position starts at $14 per hour.

Requirements

Clear written and verbal communication skills.
Ability to review in-depth information and reach logical conclusions.
Basic math skills for payment-related questions.
Empathy and dependability.
Strong listening, organization, multitasking, and time management skills.
Ability to work in a changing environment.
Basic computer skills, including Microsoft Office.
Typing speed of at least 30 words per minute.
Ability to pass a pre-employment background check and drug screen.
High school diploma or equivalent.
At least 2 years of customer service experience, such as in a call center, retail, restaurant or fast food, hotel, or another role involving regular customer interaction.
Availability during the stated operating hours: Monday through Friday, 8 a.m. to 9 p.m. Eastern; possible weekends from October through March.
Reliable attendance and ability to follow a set schedule.
Ohio residency.
A secluded, distraction-free workspace.
High-speed internet from a wired cable or fiber provider, with the computer physically connected to the modem or router by Ethernet; wireless, 5G, and satellite internet are not supported.

Nice To Haves

Experience with medical claims reimbursements or billing.
Familiarity with health insurance terminology.
Understanding of health care policies, procedures, applicable certificates and riders, and benefits as related to inquiry processing.
Knowledge of customer service practices.

Responsibilities

Research and handle questions about benefits, eligibility, payments, quality-of-care concerns, and other issues.
Provide accurate information to customers, managers, and clients.
Create and send status updates or service recovery communications.
Route or escalate inquiries when needed.
Explain policies, procedures, and benefit details.
Clearly document each interaction in the tracking system.
Provide timely and accurate solutions through inbound and outbound phone calls, chats, and emails while maintaining a positive and upbeat attitude.