Job Description:
Claims Processor
Location: Allen Park, Michigan (Onsite)
Role Overview
Member Services Representatives help people understand and navigate health insurance reimbursement claims when they need support. We are looking for empathetic, solution-oriented professionals who enjoy helping others, solving problems, and delivering service. If you are passionate about customer care and want to build a career in healthcare support, we would like to meet you.
Key Responsibilities
- Respond promptly and professionally to customer inquiries via phone.
- Provide accurate information regarding products, services, and policies.
- Resolve customer issues efficiently and escalate complex cases as needed.
- Document all customer interactions in the CRM system.
- Maintain a high level of product knowledge to support customer needs.
- Meet or exceed performance metrics including call quality, response time, and customer satisfaction.
- Collaborate with team members and other departments to ensure seamless service delivery.
Required Qualifications
- High school diploma or equivalent.
- Service experience in retail or a service-oriented role.
- Verbal and written communication skills.
- Problem-solving abilities and attention to detail.
- Proficiency in basic computer applications and CRM systems.
- Ability to work in a fast-paced, team-oriented environment.
- Proficiency in a multi-system environment.
- Basic internet and web-based application skills.
- Typing speed of 35 wpm.
- Eagerness to learn new technologies.
Preferred Qualifications
- Associate or bachelor's degree.
- Previous experience in a call center or customer service role.
Work Schedule & Location
Scheduling flexibility is required. Employees will be scheduled to work an 8-hour shift between the hours of 8:30 AM and 8:00 PM Eastern Time, Monday through Friday. Start and end times may vary based on client and operational needs. This is an on-premises position and cannot be performed remotely.
Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.
Everforth Apex uses a virtual recruiter as part of the application process. Click here{target="_blank" rel="noopener"} for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at https://www.apexsystems.com/privacy-policy{target="_blank" rel="noopener"}
Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of