Experienced Customer Care Advisor I - HI Claims – Hybrid Role at careerzynith

Job Summary:

Join careerzynith, a dynamic and diverse group of individuals dedicated to making a meaningful difference in the lives of our customers and employees. As a Customer Care Advisor I - HI Claims, you will play a vital role in delivering exceptional service to our insured members, providing peace of mind and ensuring that careerzynith remains the preferred choice for employers, members, and benefits administrators. If you're passionate about delivering top-notch customer care, have a strong understanding of insurance products and services, and are eager to grow your career in a collaborative and inclusive environment, we encourage you to apply.

About careerzynith:

careerzynith is a leading provider of innovative solutions in the insurance industry. Our commitment to making a meaningful difference in the lives of others is evident in our DEI initiatives, which empower employees to bring their talents and voice to our culture. We're proud of our long tradition of supporting our communities and are recognized as a "Best Places to Work" in Arkansas, Florida, and Hawaii. Our engaging culture, comprehensive benefits package, and opportunities for personal and professional development make us an attractive employer of choice.

What We Offer:

* A culture that values employees and celebrates, empowers, and inspires a diverse workforce

• Outstanding and affordable benefits package
• Yearly bonus potential and annual increases
• PTO provided at date of hire
• 11 paid holidays
• 401(k) with up to 6% match; fully vested from day 1
• Remote opportunities with company-provided equipment
• Team-oriented, collaborative group of peers
• Career advancement opportunities
• Tuition Reimbursement
• Employee Assistance Program
• Inclusion Council and Employee Resource Groups
• Recharge Days and Volunteer Time Off

Job Overview:

As a Customer Care Advisor I - HI Claims, you will be responsible for delivering exceptional service to our insured members, providing peace of mind and ensuring that careerzynith remains the preferred choice for employers, members, and benefits administrators. You will demonstrate expertise in our products and services, provide exceptional service by listening, understanding, and demonstrating empathy for the caller's needs and situation, and effectively navigate multiple systems to answer complex inquiries and resolve concerns.

Essential Duties:

* Demonstrates expertise in our products and services

• Provides exceptional service by listening, understanding, and demonstrating empathy for the caller's needs and situation
• Reviews and expertly explains coverage provisions, claim status, completes appropriate follow-up activities regarding coverage and claims and other service inquiries as assigned
• Effectively navigates multiple systems to answer more complex inquiries, investigates payment, and resolves concerns with a high degree of professionalism
• Acts as a member advocate by answering customer questions, offering alternative solutions, anticipating member needs, where appropriate, and setting expectations for future experience with careerzynith
• With increasing levels of independence processes and inputs policy premium information in appropriate systems and notifies companies of billing discrepancies
• Effectively works within the service teams, across teams, and with management to resolve customer requests, inquiries, and concerns. Partners with management to provide training and guidance to less experienced team members
• Maintains well-written and thorough documentation of service interactions to ensure comprehension by team members and customers
• Works cohesively as a team to meet customer service performance metrics
• May perform other duties as assigned

Required Knowledge, Skills, and Abilities:

* Ability to listen to the customer's question, probe for appropriate information and understand the underlying need

• Expresses information and concepts clearly and professionally and adapts communication style to the audience and situation
• Strong troubleshooting skills and demonstrates ability to work in multiple administrative systems to locate information, investigate and resolve questions related to service requests
• Ability to be self-sufficient, manage time in a scheduled work environment and work well with other team members
• Basic knowledge of MS Office including Word, Excel, and e-mail tools
• Understands sensitivity of customer data and demonstrates the ability to protect both customer and business information

Required Education and Experience:

* High School Diploma or equivalent

• 2 years of customer service experience
• Or, equivalent military experience

Preferred Education and Experience:

* Some college course work and/or secondary training in Insurance Field

• LOMA 280/290 or 281/291 certification
• Experience in healthcare, medical provider, insurance, medical terminology, claims processing and/or medical coding. SalesForce and/or CRM tool working knowledge and/or experience

Equal Opportunity Employer:

careerzynith is an equal opportunity employer and is committed to diversity, equity, and inclusion. We welcome applications from diverse candidates and are proud to be a "Best Places to Work" in Arkansas, Florida, and Hawaii.

How to Apply:

If you're passionate about delivering top-notch customer care and are eager to grow your career in a collaborative and inclusive environment, we encourage you to apply. Please visit our website to learn more about this opportunity and to submit your application. Apply for this job