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Customer Service Representative - Health Benefits πŸ”₯


Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Health Benefits, (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self-funded health benefits plans that manage costs – without compromising benefits – by offering innovative solutions, flexibility, transparency, and customer support. We are now a subsidiary of Health Care Service Corporation, the largest customer-owned insurance company in the United States and a strategic partner of Health Benefits since 2018, giving us access to increased national scale and support. This is an exciting time to join our team and enhance our culture that emphasizes caring, diversity and inclusion, mutual respect, collaboration, and service to our communities.


At Health Benefits, we value our diverse team of Customer Service Representatives and we’re looking for new hires that want to learn and grow their careers with us! In this position, you will have the ability to work from home. You will also participate in a 5-week training class, with our new hires scheduled to begin on March 13, 2023. Our Trainers provide a detailed program to give you the knowledge and tools to be successful in your new role. Hours for the duration of training will be 8:00 am-4:00 pm CST and after training your hours will be 9:00 am - 5:00 pm CST.


Job Responsibilities include:

  • Responding to telephone, email, electronic inquiries or faxes from employees/members, service providers, clients and/or other insurance carriers on a variety of topics such as benefits, eligibility, claim status and claim disposition.
  • Handling call volumes averaging 40-50/calls per day and you will be documenting all inquiries using our internal systems.
  • Working with your support team to appropriately refer unresolved inquiries or escalated calls based on customer service procedures and guidelines.
  • Interacting with multiple systems to research inquiries and respond appropriately.
  • Following-up when required on outstanding issues to ensure timely resolution and client satisfaction.
  • Initiate outgoing calls to member or providers when required.
  • Other duties as needed/assigned

Job Qualifications:

  • High School Diploma or GED equivalent
  • Prior customer service experience working in a call center or in a position that entailed handling calls is required
  • Insurance, benefits, claims or medical/healthcare experience is a plus
  • Prior experience handling phones while navigating between multiple systems in order to assist customers
  • Ability to work in a fast-paced, customer service driven environment
  • Excellent communication skills necessary to be successful
  • Having a collaborative mindset in order to work effectively with other team members
  • Ability to learn new/proprietary systems and to adapt to various system platforms
  • All equipment and necessary software will be provided.
  • You must have a private workspace with access to high-speed internet
  • Must be able to work a 37.5 hr. work week with between the hours of 9:00 am - 5:00 pm CST Mon-Fri.
  • Bilingual candidates welcome to apply

All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran or disability.


If you are a Colorado or New York resident and this role is a field-based or remote role, you may be eligible to receive additional information about the compensation and benefits for this role, which we will provide upon request.


Required Skills

Required Experience

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