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Experienced Customer Service Representative - National Remote - Delivering Exceptional Healthcare Support and Solutions

Remote, USA Full-time Posted 2025-11-24

Welcome to arenaflex

At arenaflex, we're dedicated to helping people live healthier lives and making the health system work better for everyone. As a leader in the healthcare industry, we're committed to creating a positive impact on the lives of millions of people. Our mission is to provide high-quality, consumer-oriented health benefit plans that promote higher quality care, lower costs, and greater access to healthcare. If you're passionate about delivering exceptional customer service and making a difference in the lives of others, we invite you to join our team as a Customer Service Representative.

About the Role

In this critical role, you'll have the opportunity to work from the comfort of your own home, connecting with our members and their families to provide personalized support and solutions. As a Customer Service Representative, you'll be the face of arenaflex, delivering exceptional service that exceeds our customers' expectations. You'll spend your days responding to calls, answering questions, and resolving issues related to healthcare eligibility, claims, and payments. Your goal will be to create a positive experience for every caller, providing timely and effective solutions that meet their needs.

Key Responsibilities

  • Answer incoming phone calls from customers and identify the type of assistance they need, providing personalized support and solutions
  • Ask appropriate questions and listen actively to identify specific questions or issues, documenting required information in computer systems
  • Own problems through to resolution on behalf of the customer, providing timely and effective solutions
  • Review and research incoming healthcare claims from members and providers, navigating multiple computer systems and platforms to verify data and information
  • Ensure that the proper benefits are applied to each claim, using the appropriate processes and procedures
  • Communicate and collaborate with members and providers to resolve issues, using clear and simple language to ensure understanding
  • Meet performance goals established for the position, including efficiency, accuracy, quality, member satisfaction, and attendance

Requirements and Qualifications

To be successful in this role, you'll need to have a strong passion for delivering exceptional customer service, as well as the following qualifications:

  • High School Diploma/GED or equivalent experience
  • 1 year of prior experience in a call center setting
  • 1 year of experience in a customer service role
  • Experience working in the healthcare and health insurance industry
  • Experience with Medical Terminology
  • Ability to work any 8-hour shift between the hours of 8:00 AM - 4:30 PM CST from Monday - Friday, including flexibility to work occasional overtime
  • Must be 18 years of age or older

Soft Skills

In addition to the technical requirements, we're looking for candidates with the following soft skills:

  • Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner
  • Demonstrated ability to listen skillfully, collect relevant information, and determine immediate requests
  • Proficient problem-solving approach to quickly assess current state and formulate recommendations
  • Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions
  • Flexibility to customize approach to meet all types of member communication styles and personalities
  • Proficient conflict management skills to include ability to resolve issues in a stressful situation and demonstrating personal resilience

What We Offer

At arenaflex, we're committed to providing our employees with a comprehensive benefits package, including:

  • Competitive salary range of $16.00 - $28.27 per hour, based on several factors including local labor markets, education, work experience, and certifications
  • Comprehensive benefits package, including medical, dental, and vision coverage
  • Incentive and recognition programs to reward your performance and contributions
  • Equity stock purchase and 401k contribution, subject to eligibility requirements
  • Opportunities for career growth and development, including training and education programs
  • A dynamic and supportive work environment that values diversity, equity, and inclusion

Our Culture and Values

At arenaflex, we're committed to creating a positive and inclusive work environment that values diversity, equity, and inclusion. We believe that everyone deserves the opportunity to live their healthiest life, and we're dedicated to making a positive impact on the lives of our members and the communities we serve. Our values include:

  • A commitment to excellence and quality in everything we do
  • A passion for delivering exceptional customer service and support
  • A focus on innovation and continuous improvement
  • A dedication to diversity, equity, and inclusion, and a commitment to creating a positive and inclusive work environment
  • A commitment to making a positive impact on the lives of our members and the communities we serve

How to Apply

If you're passionate about delivering exceptional customer service and making a difference in the lives of others, we invite you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to be considered for this role. 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.

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