Customer Service Specialist

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