At arenaflex, we're dedicated to providing top-notch health insurance services that cater to the diverse needs of our members, providers, clients, and brokers. As a Claims and Customer Care Specialist, you'll play a vital role in ensuring that our customers receive timely and accurate assistance, contributing to our mission of delivering exceptional health insurance services.
**About arenaflex**
arenaflex is a leading health insurance provider that's committed to making a positive impact on the lives of our customers. With a strong focus on innovation, customer satisfaction, and employee growth, we're constantly striving to improve our services and create a work environment that's both challenging and rewarding. Our team is passionate about delivering high-quality health insurance services that meet the evolving needs of our customers.
**Responsibilities**
As a Claims and Customer Care Specialist at arenaflex, you'll be responsible for:
* Processing routine claims using multiple systems and applications while providing exceptional customer service via inbound call queues.
* Handling moderately complex claims and adjustments, responding to inquiries through various channels such as email and chat.
* Conducting claims research under the direction of senior staff and assisting with projects as directed by management.
* Mentoring and training junior team members, providing overflow and escalation support for customer service inquiries.
* Conducting complex claims research projects in response to escalations and inter-departmental inquiries.
**Key Responsibilities:**
* **Claims Processing**: Process routine claims using multiple systems and applications, ensuring accuracy and timeliness.
* **Customer Service**: Provide exceptional customer service via inbound call queues, responding to inquiries and resolving issues in a professional and courteous manner.
* **Claims Research**: Conduct claims research under the direction of senior staff, assisting with projects and providing support as needed.
* **Team Support**: Mentor and train junior team members, providing overflow and escalation support for customer service inquiries.
* **Project Work**: Conduct complex claims research projects in response to escalations and inter-departmental inquiries.
**Requirements**
To be successful as a Claims and Customer Care Specialist at arenaflex, you'll need:
* An Associate degree in business or healthcare administration, communications, or a related field, or an equivalent combination of training and experience.
* 1-5 years of customer service and/or claims experience, preferably in the health or dental insurance industry.
* Professional certifications such as Certified Dental Billing Specialist (CDBS), Certified Dental Coder (CDC), or Certified Dental Assistant (CDA) are a plus.
* Basic to advanced Microsoft Office skills, depending on the level of the position.
* Knowledge of dental benefits, services, terminology, and American Dental Association coding.
* Understanding of standard customer service best practices and principles.
* Familiarity with the Health Insurance Portability and Accountability Act (HIPAA).
**Nice-to-Haves**
* Experience in a call center environment in the health or dental insurance industry.
* Advanced knowledge of dental benefits and coding practices.
**Benefits**
As a Claims and Customer Care Specialist at arenaflex, you'll enjoy a comprehensive benefits package that includes:
* **Employee Bonus Program**: Earn bonuses for meeting performance targets and contributing to the success of our team.
* **401(k) with Company Match**: Enjoy a company match up to 4% and additional company contribution to your 401(k) plan.
* **Health Savings Account**: Take advantage of a company matching contribution to your Health Savings Account.
* **Comprehensive Insurance**: Enjoy comprehensive medical, dental, vision, life, and disability insurance.
* **Employee Assistance Program**: Access counseling and coaching services through our Employee Assistance Program.
* **PTO and Holidays**: Enjoy up to 16 PTO days in the first year, with options to carry over unused PTO, and company holidays.
* **Parental Leave**: Take advantage of parental leave for eligible employees after 120 days of service.
* **Career Development Programs**: Participate in career development programs and tuition reimbursement up to $5,250 per year.
**Why Join arenaflex?**
At arenaflex, we're committed to creating a work environment that's both challenging and rewarding. We offer:
* **Opportunities for Growth**: Develop your skills and advance your career in a dynamic and supportive environment.
* **Collaborative Team**: Work with a talented and dedicated team that's passionate about delivering exceptional health insurance services.
* **Innovative Culture**: Be part of a culture that's constantly striving to improve and innovate, with a focus on customer satisfaction and employee growth.
* **Comprehensive Benefits**: Enjoy a comprehensive benefits package that includes bonuses, insurance, and career development opportunities.
**How to Apply**
If you're a motivated and customer-focused individual who's passionate about delivering exceptional health insurance services, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and we'll be in touch to discuss your qualifications further.
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