You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a Customer Care Representative to join their Member Experience team remotely. The primary responsibilities include assisting members by relieving administrative tasks such as answering customer service inquiries and clarifying questions about benefits and eligibility. The role includes alternating between handling inbound calls and managing emails/chats daily.

Key Responsibilities

• Support the Member Experience team by addressing member service questions.
• Provide clarity on benefits, eligibility, and other inquiries.
• Engage with both members and healthcare providers effectively.
• Use ZenDesk for customer service operations.
• Participate in a two-week training program covering insurance basics, regulatory plans, and internal procedures.

Qualifications

• Approximately 3 years of insurance customer service experience.
• Knowledge of claims, eligibility, and explanation of benefits (EOB).
• Strong phone and written communication skills.
• Preferred: Background in Healthcare TPA or Health Plans.

Experience

• Minimum of 3 years in the insurance customer service sector.
• High-level understanding of insurance claims, benefits, and eligibility processes.

Skills

• Experience with ZenDesk or similar customer service programs.
• Excellent verbal and written communication abilities.
• Soft skills: Friendly, patient, and professional demeanor.

Additional Requirements

• Work schedule: 40 hours/week, flexible hours across different time zones.
• Laptop provided for remote operations.
• Initial training conducted virtually as part of onboarding.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

Our client company is committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. We also consider qualified applications regardless of criminal histories, consistent with legal requirements.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients