Health Benefits Customer Service Call Center Representative

Cobalt Benefits Group LLC • Tampa, FL

91d

About The Position

Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Health Benefits Customer Service Call Center Representative, you’ll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The Health Benefits Customer Service Call Center Representative is responsible for responding to inbound inquiries from members, providers, and partners regarding health plan benefits, eligibility, claims, authorizations, and account information. This position requires excellent communication skills, the ability to navigate multiple systems, and a commitment to providing accurate and timely information while adhering to established policies, procedures, and compliance standards. We are hiring for multiple positions with a Tuesday, November 11, 2025 start date.

Requirements

• High school diploma or equivalent (associate or bachelor’s degree preferred).
• 1–2 years of customer service experience; prior call center or healthcare/insurance experience preferred.
• Strong verbal, written, and interpersonal communication skills, with the ability to simplify complex information.
• Proficiency in Microsoft Office (Outlook, Word, Excel, Teams) and ability to learn new software systems quickly.
• Excellent documentation and data entry accuracy.
• Strong reading comprehension skills.
• Ability to work in a structured, fast-paced environment while meeting productivity and quality metrics.
• On-camera presence essential for training and meetings.

Nice To Haves

• Familiarity with HIPAA, ERISA, and healthcare benefit plan terminology.

Responsibilities

• Handle high-volume inbound calls with professionalism, empathy, and accuracy.
• Provide clear, accurate information regarding health insurance benefits, claims, billing, and eligibility.
• Assist members in navigating online resources and submitting requests.
• Document all call interactions in customer management systems in compliance with company and regulatory requirements.
• Adhere to call handling standards, including average handle time, quality scores, and first call resolution targets.
• Follow compliance guidelines including HIPAA, CMS, and state-specific regulations.
• Escalate complex issues appropriately to ensure timely resolution.
• Stay current with updates to health plan policies, systems, and processes.
• Contribute to continuous improvement by identifying trends and opportunities for enhanced customer experience.

Benefits

• Fantastic medical, dental, and vision insurance*
• Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!
• Company-provided Basic Life and AD&D
• Company-paid Short-Term and Long-Term Disability**
• Flexible Spending Accounts*
• 401(k) Retirement Plan with up to a 6% employer match** (100% fully vested after 3 years)
• 10+ paid holidays
• Generous paid vacation and sick time
• Annual Volunteer Paid Day
• Annual Tuition Reimbursement
• Annual Health and Wellness Reimbursement
• Lots of fun company events

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED