Customer Service Representative

Point C is a National third-party administrator (TPA) that delivers customized self-funded benefit programs. The Customer Service Representative provides benefit information, claim status, and general health plan information to callers while ensuring a welcoming and supportive experience.

Responsibilities:

• Create a welcoming experience by authentically engaging every caller, every time
• Make a connection with customers by engaging in friendly and genuine conversation throughout each call to provide a world-class experience
• Interacting with team and co-workers in a supportive and purpose-drive environment
• Thoroughly and accurately answer questions about customers’ healthcare accounts
• Thoughtfully listen to callers’ needs and provide appropriate solutions
• Demonstrate a culture of ethical conduct, safety, and compliance
• Handle 35-50+ inbound and outbound phone calls per day
• Work closely with claim staff to make warranted adjustments to claims
• Other duties are based on business needs

Requirements:

• 2+ years of customer service experience; 1+ years in a TPA or payer setting
• Bachelor's degree or medical billing/coding certification
• Strong communication, multitasking, and computer skills (Microsoft Office)
• Ability to work remotely and handle prolonged computer-based tasks
• Experience with self-funded plans preferred
• Additional TPA or payer experience