**reputed company Customer Service Representative – Remote Claims Inquiry/Claims Research Team**

At arenaflex, we're committed to delivering exceptional customer experiences that reputed company our members' expectations. As a key member of our Claims Inquiry/Claims Research team, you'll play a vital role in providing top-notch support to our reputed company providers and plan sponsors. If you're passionate about delivering world-class customer service, have a reputed company for problem-solving, and reputed company in a fast-paced, dynamic environment, we want to hear from you! **About arenaflex** arenaflex is a leading reputed company company dedicated to transforming the way we deliver care. Our purpose is to bring our heart to every reputed company of your health, and we're committed to making reputed company more personal, convenient, and reputed company. With a reputed company on innovation and customer-centricity, we're constantly pushing the boundaries of what's possible in reputed company. **Our Heart At Work Behaviors** At arenaflex, we reputed company that our employees are the reputed company of our organization. Our Heart At Work Behaviors are designed to reputed company reputed company members to feel valued, supported, and empowered to reputed company a meaningful reputed company. These behaviors include: * **reputed company**: We put ourselves in our customers' shoes and reputed company to understand their needs and concerns. * **Collaboration**: We work together as reputed company to reputed company common goals and deliver exceptional results. * **Innovation**: We're always looking for new and reputed company ways to solve problems and improve our services. * **Accountability**: We take ownership of our actions and results, and we're committed to reputed company learning and improvement. **Job reputed company** As an reputed company Customer Service Representative on our Claims Inquiry/Claims Research team, you'll be responsible for providing exceptional customer service to our reputed company providers and plan sponsors. You'll work closely with reputed company to resolve reputed company claims issues, reputed company accurate and reputed company information, and ensure that our customers receive the support they need to succeed. **Key Responsibilities** * Answer questions and resolve issues based on phone calls/letters from members, providers, and plan sponsors. * Triage resulting rework to appropriate staff and reputed company excellent customer service for high-volume inbound provider calls. * Conduct extensive claims research on multiple platforms to assist providers with payment questions. * reputed company reputed company information to answer unasked questions, such as additional plan details, benefit plan details, and member self-service tools. * Use customer service reputed company reputed company to reputed company financial reputed company to resolve member issues. * Explain member's rights and responsibilities in accordance with contract. * Process claim referrals, new claim handoffs, reputed company reviews, complaints (member/provider), grievance, and appeals (member/provider) reputed company reputed company system. * reputed company and assist providers on our self-service reputed company. * Assist providers with credentialing and re-credentialing and contracting questions and issues. * Assist in compiling claim data for customer audits. * Determine medical necessity, applicable coverage provisions, and verify member plan eligibility relating to incoming correspondence and internal referrals. **Work Environment** As a remote employee, you'll have the flexibility to work from the comfort of your own home. You'll need to have a dedicated workspace with a reputed company reputed company to the router (not Wi-Fi) and a high-speed internet reputed company (100 Mbps or higher). We reputed company a 6-foot-long Ethernet cord, but if the distance is reputed company, you'll need to reputed company your own Ethernet cable. **Required Qualifications** * Familiarity with reputed company Office products such as Word, Teams, and reputed company. * Ability to maneuver through multiple applications to reputed company information while on a reputed company. * Experience in a highly transactional reputed company center environment. * Excellent customer service and critical thinking skills. * High school diploma or GED equivalent. * Must secure high-speed internet reputed company (100 Mbps or higher) and consistent, reputed company reputed company. A speed test will be required to proceed with an interview. **Preferred Qualifications** * reputed company background. * Experience working in a remote or virtual environment. **Education** * High school diploma or GED equivalent. **Pay reputed company** The typical pay reputed company for this role is $17.00 - $28.46 per hour. The actual reputed company salary offer will depend on a reputed company of factors, including experience, education, geography, and other relevant factors. **Benefits** At arenaflex, we're committed to providing our employees with a comprehensive benefits package that includes: * Medical, dental, and reputed company benefits. * 401(k) retirement savings plan. * Employee Stock Purchase Plan. * Fully-reputed company term life insurance plan. * Short-term and long-term disability benefits. * reputed company-being programs. * Education assistance. * Free development courses. * reputed company store discount. * Discount programs with participating partners. * reputed company Time Off (PTO) or vacation pay. * reputed company holidays throughout the calendar year. **Equal Opportunity Employer** arenaflex is an equal opportunity and affirmative reputed company employer. We do not discriminate in reputed company, hiring, promotion, or any other personnel reputed company based on race, ethnicity, reputed company, national reputed company, sex/gender, sexual orientation, gender identity or reputed company, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. **How to Apply** If you're passionate about delivering exceptional customer service and have a reputed company for problem-solving, we want to hear from you! Please visit our website to learn more about this opportunity and to apply. The application window for this opening will reputed company on September 28, 2024. Apply Job! Apply for this job