Inbound Support Specialists

Job Description: Inbound Support Specialists Location: Allen Park, Michigan (On-site) Role Overview We are seeking dedicated and empathetic Inbound Support Specialists to join our team. The ideal candidate will assist members with their health insurance claims. Specialists provide clear, accurate information, offer guidance on claim submissions, and resolve issues relating to claims. This role requires professional communication skills, a thorough understanding of health insurance processes, and the ability to handle sensitive information responsibly. Key Responsibilities - Take inbound calls from clients regarding health insurance claims. - Follow up with members on claim statuses, required documents, and any additional information. - Assist members in understanding health insurance coverage and claim processes. - Provide detailed explanations of claims decisions and necessary next steps. - Guide members through the process of submitting claims and appeals. - Deliver quality customer service by actively listening to member needs and concerns. - Address and resolve member inquiries in a timely and professional manner. - Ensure members feel supported and informed throughout their claims process. - Accurately document all client interactions and updates in the CRM system. - Prepare and maintain reports on call outcomes and client feedback. - Follow up on unresolved issues and ensure prompt address. - Adhere to company policies and procedures, including those related to privacy and confidentiality. Required Qualifications Education: High school diploma or equivalent is required. An Associate or Bachelor's degree is preferred. Experience: Previous experience in a call center environment, preferably in the healthcare or insurance industry. Technical Skills: Proficiency in using computer systems and navigating multiple software applications simultaneously. Preferred Qualifications - Strong customer service skills with the ability to effectively communicate and empathize with callers. - Excellent problem-solving skills and attention to detail. - Knowledge of health insurance terminology, claims processing procedures, and regulatory requirements. - Flexibility to work evenings, weekends, and holidays as needed. 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