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Customer Service Representative - Health and Benefits

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WTW

Feb 6

  • Job
    Full-time
    Entry, Junior & Mid Level
  • Customer Relations
    Healthcare
  • Denver

AI generated summary

  • You should have strong communication, problem-solving, and time management skills, attention to detail, proficiency in Microsoft Office, and a high school diploma; bilingual is a plus.
  • You will handle participant inquiries, resolve issues, document interactions, learn health plans, collaborate with teammates, and support client documentation while ensuring HIPAA compliance.

Requirements

  • Prior client service experience helpful but not required; some knowledge of employee benefits and health plan design is desired
  • Possess excellent listening, verbal, and written communication skills
  • Conflict resolution, case management, and problem-solving skills
  • Ability to work and think independently as well as part of a team
  • Good time management skills
  • Detail-oriented, customer focused and target driven
  • Ability to multitask and utilize available resources to solve problems
  • Proficiency in Microsoft Office applications and ability to quickly learn and navigate new applications is desired
  • High School Diploma required; Bachelor’s degree preferred
  • Bilingual (English/Spanish) a plus

Responsibilities

  • Handle calls and inquiries from participants regarding benefits and claim status
  • Develop a strong understanding of various health plan designs and details
  • Work cooperatively with other team members to complete tasks and resolve conflicts
  • Handle complaints and troubleshoot problems professionally to ensure effective resolution
  • Participate in trainings and team meetings to increase and improve existing skills and knowledge
  • Maintain complete and accurate documentation of your work and stay cognizant of HIPAA rules and regulations while handling protected health information
  • Quickly learn and efficiently use the required software, reports, tools, and metrics to ensure quality output / service delivery
  • Support the development of client documents including claim audits, presentations, and case documentation
  • Participate in team meetings and proactively support the capturing and completion of next steps and action items
  • Share the client’s vision of always going the extra mile to engage with members and ensure satisfaction

FAQs

What is the main responsibility of a Health Benefit Customer Service Representative?

The main responsibility is to handle calls and inquiries from participants regarding benefits and claim status, while developing strong client relationships and ensuring customer satisfaction.

Is prior client service experience required for this position?

No, prior client service experience is helpful but not required; some knowledge of employee benefits and health plan design is desired.

Are there opportunities for professional development in this role?

Yes, this position offers professional development through improving technical and interpersonal skills while meeting the needs of clients.

What are the working hours for this position?

The working hours are Monday-Thursday from 7:30 am to 4:30 pm and Friday from 7:30 am to 4:00 pm.

Is this position eligible for overtime?

Yes, this role is eligible for overtime.

Do I need to be bilingual to apply for this position?

Bilingual (English/Spanish) is a plus but not required to apply for this position.

What education is required for this role?

A High School Diploma is required, and a Bachelor's degree is preferred.

What benefits does the company offer?

The company offers a competitive benefits package including health and welfare benefits, leave benefits, and retirement benefits.

Will I need to handle sensitive information in this role?

Yes, this position often requires handling sensitive information with professionalism and integrity, in compliance with HIPAA rules and regulations.

Is visa sponsorship available for this job?

No, visa employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity.

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WTW

We transform tomorrows

Finance
Industry
10,001+
Employees
2016
Founded Year

Mission & Purpose

At WTW (NASDAQ: WTW), we provide data-driven, insight-led solutions in the areas of people, risk and capital. Leveraging the global view and local expertise of our colleagues serving 140 countries and markets, we help you sharpen your strategy, enhance organizational resilience, motivate your workforce and maximize performance.