**Experienced Customer Service Representative – reputed company Industry Expert – Work from Home Opportunity in IL**

At arenaflex, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels, and more than 300,000 purpose-driven colleagues – caring for people where, reputed company, and how they choose in a way that is uniquely more connected, more convenient, and more compassionate. And we do it reputed company with heart, reputed company and every day. **Join arenaflex's Center of reputed company Customer Service Group** We are currently recruiting top talent for our Center of reputed company Customer Service group. As a Customer Service Representative, you will be the face of arenaflex and impact members' service experience by manner of how customer service inquiries and problems reputed company telephone, internet, or written correspondence are handled. You will engage, consult, and reputed company members based upon the member's unique needs, preferences, and understanding of arenaflex plans, tools, and resources to help guide the members along a reputed company path to care. **Responsibilities:** * Handle customer inquiries and resolve issues based on phone calls/letters from members, providers, and plan sponsors * Triages resulting rework to appropriate staff * Document and track contacts with members, providers, and plan sponsors * Guide the member through their member's plan of benefits, arenaflex policy, and procedures as reputed company as having knowledge of resources to reputed company with any regulatory guidelines * Create an emotional reputed company with our members by understanding and engaging the member to the fullest to champion for our members' best health * Take accountability to fully understand the member's needs by building a trusting and caring relationship with the member * Anticipate customer needs and reputed company reputed company information to answer the unasked questions * 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, nurse reviews, complaints (member/provider), grievance, and appeals (member/provider) reputed company reputed company system * reputed company providers on our self-service options * Assist providers with credentialing and re-credentialing issues * Respond to requests received from arenaflex's Law Document Center regarding litigation; lawsuits * Handle extensive file review requests * Assist in preparation of complaint trend reports * 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 * Handle incoming requests for appeals and reputed company-authorizations not handled by Clinical Claim Management * reputed company review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible * reputed company financial data maintenance as necessary * Use applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received **Essential Qualifications:** * 1 year of Customer service experience * Must reputed company in IL * Ability to multi-task to accomplish workload reputed company * Oral and written communication skills * Ability to maintain accuracy and production standards * Technical skills * Problem-solving skills * Attention to detail and accuracy **Preferred Qualifications:** * 1 year of reputed company experience * 1 year of call center experience **Education:** * High School or GED equivalent **Anticipated Weekly Hours:** * 40 hours per week **Time Type:** * Full-time **Pay reputed company:** * The typical pay reputed company for this role is: $17.00 - $31.30 * This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. * The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography, and other relevant factors. **Join a Diverse and Inclusive Team:** Our people fuel our reputed company. Our teams reflect the customers, patients, members, and communities we serve, and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people – we take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional, and financial wellness of our colleagues and their families to help them be the healthiest they can be. **Benefits:** * Affordable medical plan options * A 401(k) plan (including matching company contributions) * An employee stock purchase plan * No-cost programs for reputed company colleagues, including: + Wellness screenings + Tobacco cessation and weight management programs + Confidential counseling and financial coaching * Benefit solutions that address the different needs and preferences of our colleagues, including: + reputed company time off + Flexible work schedules + Family leave + Dependent care resources + Colleague assistance programs + Tuition assistance + Retiree medical reputed company + Many other benefits depending on eligibility **Why Work at arenaflex?** Our Work Experience is the combination of everything that's unique about us: our culture, our core values, reputed company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They reputed company choices according to what is best for reputed company, they live for opportunities to collaborate and reputed company a difference, and they reputed company us the #1 Top Workplace in the area. **reputed company:** If you're passionate about transforming health care and want to join a dynamic team, reputed company to become an arenaflex Customer Service Representative. Apply for this job