H

HCSC

Offers health insurance and wellness programs

Customer Service Representative

Customer SupportConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • A high school diploma or GED equivalent is required.
  • At least one year of previous customer service experience is required.
  • Ability to work in a fast-paced, high-demand, structured service-oriented environment.
  • Excellent verbal, written, and interpersonal communication skills are required.
  • Ability to address problems in varying situations and reach timely resolutions.
  • Strong reasoning and analytical skills, including resolving customer issues quickly and accurately while navigating multiple systems and screens during calls.
  • Ability to use common-sense understanding to carry out oral, written, or diagrammatic instructions.
  • Flexibility and openness to continued process improvement are required.
  • Ability to learn new or proprietary systems, adapt to different system platforms, and use Microsoft Excel and Word effectively.
  • A private, dedicated workspace free from distractions, secure and consistently reliable high-speed internet, and the ability to connect via Ethernet cable are required.

Responsibilities

  • Accurately and respectfully respond by phone, in writing, and electronically to a high volume of inquiries from employees, members, providers, and clients about topics including benefits, eligibility, claim status, and claim disposition.
  • Navigate multiple system applications, screens, resources, and tools while on the phone to provide accurate responses.
  • Thoroughly and accurately document inquiries and actions taken using applicable software applications and following company guidelines.

Desired Qualifications

  • Prior experience in a fast-paced call center.
  • Experience with self-funded insurance or benefits and/or third-party administrator (TPA) operations.
  • Knowledge of medical procedure and diagnosis coding.
  • Knowledge of medical terminology.
  • Familiarity with Summary Plan Documents (SPDs), insurance booklets, or other benefit descriptive tools.
  • Experience working in a performance-measured environment with quality metrics.

About the Company

HCSC

Offers health insurance and wellness programs

HCSC is a health insurance provider active in Illinois, Montana, New Mexico, Oklahoma, and Texas. It sells health insurance plans to individuals, families, and businesses, funding its services through member premiums. The company works by offering a range of plans tailored to different needs and by investing in wellness programs and care initiatives aimed at improving member health and reducing overall costs. Compared with others, HCSC emphasizes its long history, broad regional footprint, and its focus on quality care, cost management, and wellness-driven outcomes, distinguishing itself through sustained service and programs that support healthier living. Its goal is to help people live healthier lives by delivering reliable coverage, improving member outcomes, and controlling healthcare costs.

Company size
Not listed
Company stage
Not listed
Total funding
$511.7M
Headquarters
Chicago, IL
Founded
1936

Recently Posted Jobs

Explore more opportunities at HCSC

See more jobs