Tittle:Customer Service Senior Representative
Location: Remote
Duration: 6 Months
Schedule Notes: Monday–Friday, 10 a.m.–7 p.m. CST
Training Schedule: 8 a.m.–5 p.m. CST for 2 weeks

Note:

• Candidates must have a quiet and private working environment. They are expected to take inbound and outbound calls during their entire shift.
• Candidates must have a hard-wired internet connection; Wi-Fi will not suffice. 

Description:

• Delivers specific, delegated customer service tasks assigned by a supervisor. Receives requests by mail, telephone, or in person regarding insurance claims/policies. Responds to inquiries from policyholders, providers, and/or others for information and assistance.
• Performs research to respond to inquiries and interprets policy provisions to determine the most effective response. Mails or routes claim forms and supporting documentation to various units for final processing.
• The position typically requires excellent interpersonal skills and the ability to understand and interpret policy provisions.
• Independently responds to inquiries, grievances, or complaints of moderate to substantial complexity. Completes day-to-day tasks without immediate supervision but has ready access to advice from more experienced team members. Tasks involve a degree of forward planning and anticipation of needs/issues. Resolves non-routine issues escalated from more junior team members.

Skills:

• Previous experience in the healthcare industry (1–2 years), with third-party benefits verification experience preferred.
• Excellent verbal and written communication skills.
• Ability to interpret and appropriately follow policies, procedures, manuals, and written instructions as given.
• Demonstrated ability to handle challenging situations in a professional manner.
• Willingness to work on varying tasks.
• Knowledge of healthcare pharmaceuticals and services is a plus.

 Non-Negotiable Skills:

• Attention to detail
• Knowledge of third-party insurance carrier processes
• Must have experience taking inbound and outbound calls (30 calls per day)
• At least 1–2 years of customer service, insurance verification, or related experience required.
• Basic knowledge of Outlook, Excel, Word, MS Office, and SharePoint is required.

Education:

• High school diploma

 

About Us: SPECTRAFORCE is one of the fastest-growing workforce solutions firms in the United States. As a diversity-owned business, we place human connection at the heart of everything we do, building strong relationships with both clients and candidates to fill roles successfully. Our teams in North and Central America and India serve more than 150 Fortune clients globally, leveraging custom AI technology to provide direct hire, executive search, nearshoring, offshoring, and project staffing solutions.
 
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.

Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation.
 
California Applicant Notice: SPECTRAFORCE is committed to complying with the California Privacy Rights Act (“CPRA”) effective January 1, 2023; and all data privacy laws in the jurisdictions in which it recruits and hires employees. A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our website. Applicants with disabilities may access this notice in an alternative format by contacting NAHR@spectraforce.com.
 
LA County, CA Applicant Notice: If you are selected for this position with SPECTRAFORCE, your offer is contingent upon the satisfactory completion of several requirements, including but not limited to, a criminal background check. We consider qualified applicants with arrest or conviction records for employment in accordance with all local ordinances and state laws, including the Los Angeles County Fair Chance Ordinance for Employers (FCO) and the California Fair Chance Act (FCA). The background check assessment will consider whether a criminal history could reasonably have a direct, adverse impact on the job-related safety, security, trust, regulatory compliance, or suitability for this role. Such findings may result in withdrawal of a conditional job offer. 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position's starting pay is: $16.87/hr. 

 


At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $16.87/hr.