Experienced Customer Service Representative – Remote Claims and Insurance Specialist for Efficient Claims Resolution and Exceptional Customer Experience

Introduction to arenaflex arenaflex is a leading provider of innovative insurance solutions, dedicated to delivering exceptional customer experiences through efficient claims resolution and personalized support. As a remote customer service representative specializing in claims and insurance, you will play a vital role in our mission to provide top-notch service to our clients. Our team is passionate about making a positive impact in the lives of our customers, and we are seeking a like-minded individual to join our dynamic team. Job Overview We are seeking a detail-oriented and customer-focused Claims Representative to join our team at arenaflex. As a key member of our claims resolution team, you will be responsible for processing and managing medical claims, ensuring accuracy and efficiency in claims resolution. Your exceptional communication skills, strong attention to detail, and ability to work in a fast-paced environment will enable you to provide exceptional customer experiences and drive business results. Key Responsibilities Provide inbound and outbound call support to customers, responding to inquiries and resolving issues in a timely and professional manner Review and process health insurance claims for accuracy and completeness, utilizing financial software to assess and calculate claim amounts Apply ICD-9 coding to claims, ensuring compliance with regulatory requirements and industry standards Maintain accurate and up-to-date medical records and documentation related to claims, ensuring confidentiality and security of sensitive information Collaborate with medical billing teams to ensure seamless claim processing and resolution Verify insurance coverage and eligibility for claimants, ensuring that all necessary documentation and information is obtained and processed efficiently Utilize Microsoft Excel to analyze data, track claims, and identify trends, making recommendations for process improvements and efficiency gains Stay up-to-date with Workers' Compensation laws and regulations, applying knowledge to ensure compliance and accuracy in claims resolution Ensure proper insurance verification procedures are followed, maintaining high standards of quality and customer satisfaction Requirements and Qualifications To be successful in this role, you will need to possess a combination of technical skills, industry knowledge, and soft skills. The following requirements and qualifications are preferred: Previous experience in clerical roles within the insurance or healthcare industry, with a strong understanding of medical terminology and claims processing procedures Proficiency in financial software for claims processing, with the ability to learn and adapt to new systems and technologies Strong proficiency in Microsoft Excel, with the ability to analyze data, create spreadsheets, and track claims Excellent communication skills, with the ability to interact with claimants, internal teams, and external stakeholders in a professional and courteous manner Good call center experience, with a strong understanding of customer service principles and practices Knowledge of Workers' Compensation laws and regulations, with the ability to apply knowledge to ensure compliance and accuracy in claims resolution Strong attention to detail and accuracy in claim assessment, with the ability to work in a fast-paced environment and meet deadlines Essential Skills and Competencies In addition to the requirements and qualifications listed above, the following skills and competencies are essential for success in this role: Strong analytical and problem-solving skills, with the ability to analyze data, identify trends, and make recommendations for process improvements Excellent communication and interpersonal skills, with the ability to build strong relationships with customers, internal teams, and external stakeholders Strong organizational and time management skills, with the ability to prioritize tasks, manage multiple projects, and meet deadlines Ability to work in a remote environment, with minimal supervision, and maintain high levels of productivity and motivation Strong technical skills, with the ability to learn and adapt to new systems, technologies, and software applications Career Growth and Development Opportunities At arenaflex, we are committed to providing our employees with opportunities for career growth and development. As a customer service representative, you will have access to training and development programs, designed to enhance your skills and knowledge, and prepare you for future roles and responsibilities. Our goal is to help you achieve your career aspirations, while making a positive impact in the lives of our customers. Work Environment and Company Culture arenaflex is a dynamic and innovative company, with a strong focus on customer satisfaction, employee engagement, and community involvement. Our remote work environment is designed to provide flexibility, autonomy, and work-life balance, while our company culture is built on values of integrity, respect, and teamwork. As a member of our team, you will be part of a collaborative and supportive community, dedicated to making a positive impact in the lives of our customers and the communities we serve. Compensation, Perks, and Benefits arenaflex offers a competitive compensation package, with a hourly rate of $13.50, and a range of perks and benefits, including: Remote work environment, with flexibility and autonomy to work from home Comprehensive benefits package, including health, dental, and vision insurance Opportunities for career growth and development, with training and development programs Collaborative and supportive company culture, with a focus on employee engagement and satisfaction Recognition and reward programs, designed to recognize and reward outstanding performance and contributions Conclusion If you are a motivated and customer-focused individual, with a passion for delivering exceptional customer experiences, we encourage you to apply for this exciting opportunity at arenaflex. As a customer service representative, you will play a vital role in our mission to provide top-notch service to our clients, while enjoying a range of perks and benefits, and opportunities for career growth and development. Don't miss out on this opportunity to join our dynamic team and make a positive impact in the lives of our customers. Apply now to become a part of the arenaflex team! Apply for this job