Job Description

Apex Systems is currently hiring for a Customer Service Rep. The ideal candidate will be responsible for handling inbound service-related calls to assist our members with their healthcare-related claims.

Qualified candidates will have the following experience and skills:

We are seeking dedicated and empathetic Inbound Support Specialists to join our team. The ideal candidate will be responsible for handling inbound service-related calls to assist our members with their healthcare-related claims. The specialist will provide clear and accurate information, offer guidance on claim submissions, and resolve any issues relating to members' claims. This role requires excellent communication skills, a thorough understanding of health insurance processes, and the ability to handle sensitive information. Have you ever wanted to help people live a healthy, happy life, but didn't know where to start? Our client will teach you what you need to know with skills that are transferable across the healthcare industry.

Key Responsibilities:

• Handle inbound calls from people, customers related to their healthcare.
• Follow up with members on claim statuses, required documents, and any additional information needed.
• Assist members with claims status, submitting required documents.
• Provide detailed explanations of claims decisions and necessary next steps.
• Guide members through the process of submitting claims and appeals.
• Deliver exceptional customer service by actively listening to members' needs and concerns.
• Address and resolve member inquiries in a timely and professional manner.
• Ensure members feel supported and informed throughout their claims process.
• Accurately document all client interactions and updates in the company’s CRM system.
• Prepare and maintain reports on call outcomes and client feedback.
• Follow up on unresolved issues and ensure they are addressed promptly.
• Adhere to company policies and procedures, including those related to privacy and confidentiality.

Qualifications:

• High school diploma or equivalent required; Associate or bachelor’s degree preferred.
• Previous experience in a call center environment, preferably in the healthcare or insurance industry.
• Strong customer service skills with the ability to effectively communicate and empathize with callers.
• Excellent problem-solving skills and attention to detail.
• Proficiency in using computer systems and navigating multiple software applications simultaneously.
• Ability to work efficiently in a fast-paced environment and manage multiple tasks effectively.
• Knowledge of health insurance terminology, claims processing procedures and regulatory requirements is a plus.
• Flexibility to work evenings, weekends, and holidays as needed.

If you are interested, please apply here or email an updated copy of your resume to nvandormolen@apexsystems.com

Apex Benefits Overview: Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Apex also offers a HSA (Health Savings

Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Apex team member can provide.

EEO Employer

Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at employeeservices@apexsystems.com or 844-463-6178.

Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.

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