**Experienced Customer Service Representative - National Remote**

Join arenaflex, a leading health care organization dedicated to simplifying the health care experience, creating healthier communities, and removing barriers to quality care. As an Experienced Customer Service Representative, you will play a critical role in delivering exceptional customer service to our members and their families, while also helping to resolve complex claims and benefits-related issues. At arenaflex, we believe that everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances. That's why we're committed to creating a more equitable and inclusive health care system, where everyone has access to the care they need to thrive. As a member of our team, you'll have the flexibility to work from anywhere within the U.S., with a full-time schedule of 40 hours per week, Monday through Friday. You'll be part of a dynamic and supportive team that's passionate about making a difference in the lives of our members. **About arenaflex** arenaflex is a leading health care organization that's dedicated to simplifying the health care experience, creating healthier communities, and removing barriers to quality care. We're a company that's committed to making a difference in the lives of our members, and we're looking for talented and compassionate individuals like you to join our team. **Key Responsibilities** As an Experienced Customer Service Representative, you'll be responsible for: * Answering incoming phone calls from customers and identifying the type of assistance they need * Asking appropriate questions and listening actively to identify specific questions or issues while documenting required information in computer systems * Owning problems through to resolution on behalf of the customer in real-time or through comprehensive and timely follow-up * Reviewing and researching incoming healthcare claims from members and providers, navigating multiple computer systems and platforms, and verifying the data/information necessary for processing * Ensuring that the proper benefits are applied to each claim by using the appropriate processes and procedures * Communicating and collaborating with members and providers to resolve issues, using clear, simple language to ensure understanding * Meeting performance goals established for the position in the areas of efficiency, accuracy, quality, member satisfaction, and attendance **Essential Qualifications** * High School Diploma or GED * Must be 18 years of age or older * 2 years of previous or current claims processing experience with arenaflex's claims processing system (UMR CPS) * 1 year of customer service experience in an office or professional setting * Ability to complete on-the-job training for this role during their normally scheduled 8-hour shift, Monday through Friday, between the hours of 7:00 a.m. and 8:00 p.m. CST * Ability to work any of our 8-hour shift schedules during our normal business hours of 7:00 a.m. to 7:00 p.m. CST, with the flexibility to adjust daily schedules and work overtime as needed **Preferred Qualifications** * Familiarity with medical terminology, health plan documents, or benefit plan design * Prior experience utilizing multiple systems/platforms while on a call with a member **Soft Skills** * Demonstrated ability to use computer and Windows PC applications, including strong keyboard and navigation skills and learning new computer programs * Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations * Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests, and identify the current and future needs of the member * Flexibility to customize approach to meet all types of member communication styles and personalities * Proficient problem-solving approach to quickly assess current state and formulate recommendations * Proficient conflict management skills to include ability to resolve issues in a stressful situation and demonstrate personal resilience * Ability to multi-task as well as the ability to understand multiple products and multiple levels of benefits within each product **Compensation and Benefits** * Competitive hourly rate, with a range of $16.54 to $32.55 per hour, depending on experience and qualifications * Comprehensive benefits package, including medical, dental, and vision coverage * Incentive and recognition programs to reward outstanding performance * Equity stock purchase and 401(k) contribution * Opportunities for career growth and professional development **Work Environment and Culture** * arenaflex is a remote-friendly company, with a flexible work schedule that allows you to work from anywhere within the U.S. * Our team is passionate about making a difference in the lives of our members, and we're committed to creating a supportive and inclusive work environment. * We believe in the importance of work-life balance, and we offer a range of benefits and programs to support your well-being. **How to Apply** If you're a motivated and compassionate individual who is passionate about making a difference in the lives of our members, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to our online portal. We can't wait to hear from you! **Equal Employment Opportunity** arenaflex is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. **Drug-Free Workplace** arenaflex is a drug-free workplace, and candidates are required to pass a drug test before beginning employment. Apply for this job