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Experienced Full Stack Customer Care Representative – Claims I – Work From Home Opportunity

Work from home Full-time role Hiring

Are you a customer-centric individual with a passion for delivering exceptional service? Do you thrive in a fast-paced, dynamic environment where no two calls are ever the same? If so, we invite you to join our team as a Customer Care Representative – Claims I at careerzynith, a leading provider of employee benefits, absence management, and workforce productivity solutions. As a Customer Care Representative – Claims I, you will be the face of careerzynith, interacting with clients and claimants across the country to provide timely, efficient, and compassionate support. You will be responsible for managing inbound calls, performing outbound voice work tasks, and resolving routine administrative technical issues. Your exceptional communication skills, patience, and understanding will make all the difference in delivering a world-class customer experience.

About careerzynith

careerzynith is a top-rated insurance carrier and Third Party Administrator (TPA) that delivers innovative, technology-driven absence and benefit solutions to employers and employees. Our commitment to integration, reliability, and dedication to providing customized solutions has earned us a reputation as a trusted partner in the industry. With a diverse team of thousands of employees across America, we are proud to offer a range of benefits and perks that support the financial, physical, and mental wellbeing of our team members.

Key Responsibilities

As a Customer Care Representative – Claims I, your key responsibilities will include:

  • Managing inbound calls from clients and claimants across the country
  • Performing outbound voice work tasks related to selected clients and claimants
  • Answering client and claimant inquiries in a timely and efficient manner
  • Accurately filing and documenting client/claimant specific information into the applicable system
  • Adhering to all department standards and responding to client and claimant inquiries in a timely and efficient manner
  • Consistently delivering exceptional customer service, as measured by the results of our Quality Monitoring program
  • Communicating effectively with all levels of management and demonstrating confidence, strong decision quality, and sound judgment when assisting claimants
  • Resolving routine administrative technical issues for applicable source systems
  • Answering related claims questions for applicable clients specific to the Intake process and reporting missed time
  • Maintaining and protecting personal health information, adhering to HIPPA rules and regulations, and maintaining a high level of confidentiality

Essential Qualifications

To be successful in this role, you will need:

  • Strong customer service skills, including politeness, friendliness, and helpfulness
  • Ability to type and talk, with proven patience and understanding
  • Active listening skills and strong attention to detail
  • Demonstrated compassion and ability to work independently and remotely
  • Exceptional interpersonal communication skills and the ability to work with a diverse workforce
  • Proficient at maneuvering on a PC with working knowledge of MS Office (Word, Excel, and Outlook)
  • Ability to manage and meet departmental deadlines and key performance indicators
  • Demonstrated ability in verbal and written skills, and reading comprehension
  • Proven experience in providing quality customer service, preferably in a call center environment
  • Knowledge of medical terminology preferred
  • Experience using web-based programs
  • High-speed home internet installed for Remote/Teleworker*

Preferred Qualifications

While not required, the following qualifications are preferred:

  • Experience working in a fast-paced, dynamic environment
  • Familiarity with absence and benefit solutions
  • Knowledge of regulatory requirements and compliance
  • Experience working with diverse populations and cultures

Work Environment

Our Customer Care Center operates 24 hours a day, 7 days a week, offering a variety of schedules to accommodate your needs. As a Customer Care Representative – Claims I, you will be required to work a scheduled shift between the core business hours of Monday to Friday, 4am to 8pm Arizona time, and be open to working some holidays. You will be expected to work sitting in one place, taking calls and speaking for the entirety of your scheduled shift (excluding scheduled breaks and lunches).

Benefits and Perks

As a valued member of our team, you will enjoy a range of benefits and perks, including:

  • An annual performance bonus for all team members
  • Generous 401(k) company match that is immediately vested
  • A choice of three medical plans (that include prescription drug coverage) to suit your unique needs
  • For High Deductible Health Plan enrollees, a company contribution to your Health Savings Account
  • Multiple options for dental and vision coverage
  • Company-provided Life & Disability Insurance to ensure financial protection when you need it most
  • Family-friendly benefits, including Paid Parental Leave & Adoption Assistance
  • Hybrid work arrangements for eligible roles
  • Tuition Reimbursement and Continuing Professional Education
  • Paid Time Off, volunteer days, community partnerships, and Employee Assistance Program
  • Ability to connect with colleagues around the country through our Employee Resource Group program and our Diversity Equity & Inclusion Council

Our Values

At careerzynith, we value:

  • Integrity: We operate with transparency, honesty, and integrity in all our interactions.
  • Empowerment: We empower our team members to take ownership of their work and make decisions that drive results.
  • Compassion: We demonstrate compassion and empathy in all our interactions, understanding that every individual has a unique story.
  • Collaboration: We work together as a team, sharing knowledge, expertise, and resources to achieve our goals.
  • Fun: We believe that work should be enjoyable, and we strive to create a positive, inclusive work environment that fosters creativity and innovation.

Equal Opportunity Employer

careerzynith is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age, or disability, or any other classification or characteristic protected by federal or state law or regulation. We assure you that your opportunity for employment depends solely on your qualifications.

How to Apply

If you are a motivated, customer-focused individual with a passion for delivering exceptional service, we invite you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you! Apply for this job

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