Key skills
CommunicationSales
About this role
Role Overview
- Helping Members Understand Their Benefits
- Answer incoming calls and respond to benefit questions with clarity and compassion.
- Explain medical, dental, vision, pharmacy, life, disability, FSAs/HSAs, and other plans in easy-to-understand terms.
- Guiding Open Enrollment & Life Event Decisions
- Support members as they choose benefits during open enrollment, as new hires, or when their life circumstances change.
- Compare and contrast plan options so members feel confident in their selections.
- Providing Expert Navigation Across Coverage Types
- Discuss Marketplace/exchange plans, COBRA, Medicare, and individual plans.
- Help members understand costs, coverage, provider choices, and plan rules.
- Solving Benefit Issues with Care & Accuracy
- Research benefit concerns thoroughly and follow through until resolved.
- Document all cases accurately while maintaining strict confidentiality.
- Ensure compliance with HIPAA, COBRA, ACA, and all federal regulations.
- Delivering Outstanding Member Experiences
- Build trust quickly over the phone.
- Provide objective, empathetic guidance—no sales, no quotas, just real support.
Requirements
- 1–2 years of customer service and benefits experience
- Familiarity with health plans, COBRA, Medicare, HSAs/FSAs (preferred)
- Strong Communication & Listening Skills
- Professional, supportive phone presence
- Comfortable using MS Word, Excel, and internal systems
- Strong documentation, accuracy, and time-management skills
Benefits
- Work from home opportunity
- Comprehensive Training & Equipment: We set you up for success with thorough onboarding, ongoing development, and all necessary work equipment.
- Competitive Pay: We offer a starting hourly rate of $17.50.
- Comprehensive Benefits: Enjoy robust medical, dental, and vision coverage, 401(k) with company match, PTO, and professional development opportunities.
- A Culture of Purpose & Impact: You’ll be part of a team that values empathy, innovation, and a shared mission to simplify healthcare for all.
- Career Growth & Development: Whether you’re starting fresh or looking to expand your expertise, we provide mentorship, training, and growth opportunities to help you advance.