Inbound Support Specialists

Inbound Support SpecialistsJob#: 3057482Job Description:Inbound Support SpecialistsLocation: Allen Park, Michigan (On-site)Role OverviewWe are seeking dedicated and empathetic Inbound Support Specialists to join our team. The ideal candidate will assist members with their health insurance claims. Specialists provide clear, accurate information, offer guidance on claim submissions, and resolve issues relating to claims. This role requires professional communication skills, a thorough understanding of health insurance processes, and the ability to handle sensitive information responsibly.Key ResponsibilitiesTake inbound calls from clients regarding health insurance claims.Follow up with members on claim statuses, required documents, and any additional information.Assist members in understanding health insurance coverage and claim processes.Provide detailed explanations of claims decisions and necessary next steps.Guide members through the process of submitting claims and appeals.Deliver quality customer service by actively listening to member needs and concerns.Address and resolve member inquiries in a timely and professional manner.Ensure members feel supported and informed throughout their claims process.Accurately document all client interactions and updates in the CRM system.Prepare and maintain reports on call outcomes and client feedback.Follow up on unresolved issues and ensure prompt address.Adhere to company policies and procedures, including those related to privacy and confidentiality.Required QualificationsEducation: High school diploma or equivalent is required. An Associate or Bachelor’s degree is preferred.Experience: Previous experience in a call center environment, preferably in the healthcare or insurance industry.Technical Skills: Proficiency in using computer systems and navigating multiple software applications simultaneously.Preferred QualificationsStrong customer service skills with the ability to effectively communicate and empathize with callers.Excellent problem-solving skills and attention to detail.Knowledge of health insurance terminology, claims processing procedures, and regulatory requirements.Flexibility to work evenings, weekends, and holidays as needed.Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico.Everforth Apex uses a virtual recruiter as part of the application process. Click here for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Everforth Apex team member can provide.Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at [email protected] or View phone number on click.appcast.io. Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered.UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex Systems.