**Experienced Claims and Customer Care Specialist – Delivering Exceptional Service in the Arenaflex Health Insurance Ecosystem**

At Arenaflex, we're dedicated to revolutionizing the health insurance experience by providing unparalleled customer service and claims processing expertise. As a Claims and Customer Care Specialist, you'll play a vital role in ensuring our members, providers, clients, and brokers receive timely and accurate assistance, contributing to our mission of delivering high-quality health insurance services. **About Arenaflex** Arenaflex is a leading health insurance provider, committed to empowering individuals and families to take control of their health and well-being. With a strong focus on innovation, customer satisfaction, and community engagement, we're shaping the future of health insurance. Our team is passionate about making a difference, and we're seeking like-minded professionals to join our mission. **Responsibilities** As a Claims and Customer Care Specialist, you'll be responsible for: * Processing routine to moderately complex claims using multiple systems and applications while providing exceptional customer service via inbound call queues, email, and chat. * Handling moderately complex claims and adjustments, responding to inquiries through various channels, and escalating issues as needed. * Conducting claims research under the direction of senior staff and assisting with projects as directed by management. * Mentoring and training junior team members, providing overflow and escalation support for customer service inquiries. * Conducting complex claims research projects in response to escalations and inter-departmental inquiries. **Key Qualifications** To succeed in this role, you'll need: * An Associate degree in business, healthcare administration, communications, or a related field, or an equivalent combination of training and experience. * 1-5 years of customer service and/or claims experience, preferably in the health or dental insurance industry. * Professional certifications such as Certified Dental Billing Specialist (CDBS), Certified Dental Coder (CDC), or Certified Dental Assistant (CDA) are a plus. * Basic to advanced Microsoft Office skills, depending on the level of the position. * Knowledge of dental benefits, services, terminology, and American Dental Association coding. * Understanding of standard customer service best practices and principles. * Familiarity with the Health Insurance Portability and Accountability Act (HIPAA). **Nice-to-Haves** While not required, experience in a call center environment in the health or dental insurance industry, as well as advanced knowledge of dental benefits and coding practices, would be beneficial. **Benefits and Perks** At Arenaflex, we're committed to supporting our employees' well-being and career growth. You'll enjoy: * An employee bonus program. * 401(k) with company match up to 4% and additional company contribution. * Health Savings Account with company matching contribution. * Comprehensive medical, dental, vision, life, and disability insurance. * Access to an Employee Assistance Program for counseling and coaching. * Company holidays and up to 16 PTO days in the first year, with options to carry over unused PTO. * Parental leave for eligible employees after 120 days of service. * Career development programs and tuition reimbursement up to $5,250 per year. **Work Environment and Culture** At Arenaflex, we foster a collaborative and inclusive work environment that encourages creativity, innovation, and growth. Our team is passionate about making a difference, and we're committed to supporting each other's success. With a focus on work-life balance, we offer flexible scheduling and remote work options to ensure our employees can thrive both personally and professionally. **How to Apply** If you're a motivated and customer-focused professional looking to join a dynamic team, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your experience, qualifications, and why you'd be a great fit for Arenaflex. Apply for this job