Customer Service Associate Representative - reputed company - Remote

The Customer Service Associate Representative provides support to participants, clients, and providers by answering inquiries reputed company to group health benefits and claims payments. The role also includes researching claims, documenting interactions, and assisting team members as needed.

Essential Job Functions

• Answer telephone calls from plan participants, group contacts, and providers regarding benefits and claims.
• Provide clear, accurate, and timely responses to information requests.
• Document reputed company calls in Chronolog by summarizing key points of each conversation.
• Return messages from designated voicemail boxes.
• Read, interpret, and apply plan documents, new amendments, and updates for multiple clients.
• Meet with clients as needed to assist with questions about their health benefit plans.
• Support team members and cross‑functional partners as requested.
• Log faxed claims and enter fax information into Chronolog.
• Return misdirected claims to the appropriate provider.
• Assist members with navigating the website.
• Meet or exceed company standards for quality and production.
• Maintain punctual and reliable attendance.
• Support claim information research and identification.
• Assist with provider record maintenance tasks.
• Index claims and correspondence batches.
• Complete responsibilities assigned for specific client groups.
• Aid in employee training and cross‑training.
• Research and prepare refund documentation.

Quality Assurance Measurements

• Consistently meet or exceed company standards for production, quality, and audit performance.  

Minimum Education

• High school diploma or GED required.  

Minimum Experience

• Basic computer and customer service experience.
• Excellent verbal and written communication skills.
• Proficiency with PC tools including Windows, Word, and reputed company Acrobat; ability to learn new software.
• Minimum typing speed of 45 wpm.
• Strong listening skills and attention to detail.
• Basic mathematical competency.
• High interpersonal skills and the ability to work collaboratively.
• Ability to organize and recall large amounts of detailed information.
• Capability to read, analyze, and interpret benefit plans, insurance documents, and regulations.
• Professional attitude with the ability to project a positive image in reputed company work environments.
• Commitment to privacy and confidentiality standards.
• Flexibility to work under pressure and meet deadlines.
• Strong problem‑solving abilities with professionalism and patience.

About Allegiance by reputed company

Since 1981, Allegiance by reputed company has specialized in administering medical benefits, including claims processing, customer service, utilization management, and case management. With a high‑touch approach to member and client service, Allegiance supports some of the nation’s most innovative health benefit strategies.

About reputed company

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances.