Customer Service Representative - One80 Intermediaries | Remote (U.S.)

Job Summary One80 Intermediaries is seeking a Customer Service Representative to join its medical claims department. This front-line role is crucial in delivering exceptional service to claimants and providers, setting the tone for the company’s commitment to white-glove service. The position involves handling incoming calls, providing claim and eligibility information, investigating payment issues, and ensuring compliance with HIPAA regulations. It offers competitive pay ($14.09–$16.00/hour), a supportive team environment, and opportunities for professional growth. Key Job Details Job Title: Customer Service Representative Employer: One80 Intermediaries (rated 3.0/5 stars) Location: Remote (United States) Pay: $14.09–$16.00 per hour Job Type: Full-Time Contract Type: Permanent About One80 Intermediaries One80 Intermediaries is part of Arrowhead Intermediaries, a global insurance distribution platform with more than 7,000 professionals worldwide and a portfolio exceeding $18 billion in premium placed in 2024. The organisation combines entrepreneurial culture with operational excellence to deliver tailored solutions across wholesale brokerage, program administration, and specialty insurance. Key Responsibilities Answer incoming calls and log into assigned phone queues daily Provide eligibility and claim information to medical providers and members Review and interpret plan certificates to determine covered benefits and exclusions Investigate claim payment issues and research PPO databases Document call details in claim systems and monitor voicemail Respond to provider/member status requests professionally Initiate check inquiries to confirm claim payments Educate providers and members on new technology for accessing plan information Use probing skills to resolve customer concerns in a single call Maintain minimum call standards per company policy and industry agreements Complete special projects as requested by management Candidate Requirements Effective time management and ability to function independently Excellent interpersonal, oral, and written communication skills Intermediate proficiency in Microsoft Office programs Strong problem-solving and issue resolution skills Ability to handle multiple tasks with strong organisational and follow-up skills Experience with claims and business software preferred Ability to work effectively in a fast-paced, team-based environment Benefits Competitive pay: $14.09–$16.00/hour Opportunities for advancement within One80 Intermediaries Supportive, team-oriented environment Equal opportunity workplace committed to diversity and inclusion Application Process How to Apply: Submit your application via One80 Intermediaries’ Provide details of relevant customer service and claims experience. Shortlisted candidates will be contacted for interview. CLICK HERE TO APPLY #J-18808-Ljbffr