**Experienced Claims and Customer Care Specialist – Delivering Exceptional Service in the Arenaflex Health Insurance Ecosystem**
At Arenaflex, we're dedicated to revolutionizing the health insurance experience by providing unparalleled customer service and claims processing expertise. As a Claims and Customer Care Specialist, you'll play a vital role in ensuring our members, providers, clients, and brokers receive timely and accurate assistance, contributing to our mission of delivering high-quality health insurance services.
**About Arenaflex**
Arenaflex is a leading health insurance provider, committed to empowering individuals and families to take control of their health and well-being. With a strong focus on innovation, customer satisfaction, and community engagement, we're shaping the future of health insurance. Our team is passionate about making a difference, and we're seeking like-minded professionals to join our mission.
**Responsibilities**
As a Claims and Customer Care Specialist, you'll be responsible for:
* Processing routine to moderately complex claims using multiple systems and applications while providing exceptional customer service via inbound call queues, email, and chat.
* Handling moderately complex claims and adjustments, responding to inquiries through various channels, and escalating issues as needed.
* 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 Qualifications**
To succeed in this role, you'll need:
* An Associate degree in business, 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**
While not required, experience in a call center environment in the health or dental insurance industry, as well as advanced knowledge of dental benefits and coding practices, would be beneficial.
**Benefits and Perks**
At Arenaflex, we're committed to supporting our employees' well-being and career growth. You'll enjoy:
* An employee bonus program.
* 401(k) with company match up to 4% and additional company contribution.
* Health Savings Account with company matching contribution.
* Comprehensive medical, dental, vision, life, and disability insurance.
* Access to an Employee Assistance Program for counseling and coaching.
* Company holidays and up to 16 PTO days in the first year, with options to carry over unused PTO.
* Parental leave for eligible employees after 120 days of service.
* Career development programs and tuition reimbursement up to $5,250 per year.
**Work Environment and Culture**
At Arenaflex, we foster a collaborative and inclusive work environment that encourages creativity, innovation, and growth. Our team is passionate about making a difference, and we're committed to supporting each other's success. With a focus on work-life balance, we offer flexible scheduling and remote work options to ensure our employees can thrive both personally and professionally.
**How to Apply**
If you're a motivated and customer-focused professional looking to join a dynamic team, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your experience, qualifications, and why you'd be a great fit for Arenaflex.
Apply Now
**About Arenaflex**
Arenaflex is a leading health insurance provider, committed to empowering individuals and families to take control of their health and well-being. With a strong focus on innovation, customer satisfaction, and community engagement, we're shaping the future of health insurance. Our team is passionate about making a difference, and we're seeking like-minded professionals to join our mission.
**Responsibilities**
As a Claims and Customer Care Specialist, you'll be responsible for:
* Processing routine to moderately complex claims using multiple systems and applications while providing exceptional customer service via inbound call queues, email, and chat.
* Handling moderately complex claims and adjustments, responding to inquiries through various channels, and escalating issues as needed.
* 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 Qualifications**
To succeed in this role, you'll need:
* An Associate degree in business, 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**
While not required, experience in a call center environment in the health or dental insurance industry, as well as advanced knowledge of dental benefits and coding practices, would be beneficial.
**Benefits and Perks**
At Arenaflex, we're committed to supporting our employees' well-being and career growth. You'll enjoy:
* An employee bonus program.
* 401(k) with company match up to 4% and additional company contribution.
* Health Savings Account with company matching contribution.
* Comprehensive medical, dental, vision, life, and disability insurance.
* Access to an Employee Assistance Program for counseling and coaching.
* Company holidays and up to 16 PTO days in the first year, with options to carry over unused PTO.
* Parental leave for eligible employees after 120 days of service.
* Career development programs and tuition reimbursement up to $5,250 per year.
**Work Environment and Culture**
At Arenaflex, we foster a collaborative and inclusive work environment that encourages creativity, innovation, and growth. Our team is passionate about making a difference, and we're committed to supporting each other's success. With a focus on work-life balance, we offer flexible scheduling and remote work options to ensure our employees can thrive both personally and professionally.
**How to Apply**
If you're a motivated and customer-focused professional looking to join a dynamic team, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your experience, qualifications, and why you'd be a great fit for Arenaflex.
Apply Now